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Arterial switch is the operation of reference for the surgical treatment of transposition of the great arteries. In cases of late referral, perinatal complications or early left ventricular (LV) dysfunction, the one stage arterial switch is contra indicated. Anatomical repair remains possible in these patients following a LV retraining.

european journal of cardio-thoracic surgery

Surgical management and indication of left ventricular retraining in arterial switch for transposition of the great arteries with intact ventricular septum