Rastelli procedure for repair of transposition of the great arteries (S, D, L) complex

Transposition of the great arteries with {S, D, L} segmental anatomy is a rare complex congenital heart lesion. The morphologic features of this unusual disease make surgical repair more challenging than in {S, D, D} transposition. Here reported is the experience with the surgical treatment of this pathologic condition in 2 patients presenting with significant associated anomalies of the right side of the heart and pulmonary outflow tract. Relevance of the specific anatomic features of the transposition {S, D, L} complex is reviewed in terms of feasibility of biventricular repair using the Rastelli operation. (C) 1997 by The Society of Thoracic Surgeons.