Journal
ANNALS OF THORACIC SURGERY
Volume 107, Issue 1, Pages 302-310Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.athoracsur.2018.06.002
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The arterial switch operation has excellent early out-comes. Although the majority of patients are growing into healthy adults, a small subset require reoperation for pulmonary stenosis as well as neoaortic root dilatation and neoaortic valve regurgitation, especially as follow-up increases. Challenging subgroups include patients with anomalous coronary anatomy, concomitant aortic arch obstruction, Taussig-Bing anomaly, ventricular septal defect, and low operative weight, and patients with an intact interventricular septum who present late. (C) 2019 by The Society of Thoracic Surgeons
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