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Eur J Cardiothorac Surg 2005;27:165-167
© 2005 Elsevier Science NL

Case report

Arterial switch operation for a complex transposition of the great arteries in dextrocardia

Department of Pediatric Cardiac Surgery, S. Orsola-Malpighi Hospital, Via Massarenti n.9, University of Bologna Medical School, 40138 Bologna, Italy

Received 27 February 2004; received in revised form 6 September 2004; accepted 9 September 2004.

^* Corresponding author. Tel.: +39 051 636 4509; fax: +39 051 636 3435. (E-mail: guidooppido{at}yahoo.com).

A very rare case of a newborn with dextrocardia, complete transposition of the great arteries {S,D,D}, ventricular septal defect, aortic arch hypoplasia, juxtaposition of the morphologically right atrial appendage and superoinferior ventricles is herein presented. He successfully underwent arterial switch operation, ventricular septal defect closure and aortic arch reconstruction with end to end extended direct anastomosis.

Key Words: Transposition of the great arteries • Dextrocardia • Atrial appendage juxtaposition • Superoinferior ventricles • Congenital heart • Cyanotic