Institutional Surgical Technique:
Our institutional repair strategy for the transposition of the great
arteries includes performing LeCompte maneuver and reconstruction of the
neo-pulmonary artery using quadrangular fresh autologous pericardial
patch. The pulmonary reconstruction technique includes mobilization of
both pulmonary artery branches into the hila, direct suturing of the
patch to 2/3 of the annulus of the neo-pulmonary trunk, and
re-suspension of the neo-pulmonary valve inside the patch. An
anastomosis without tension is then performed, using the reconstructed
pulmonary tract to fit out the expected size of the distal-pulmonary
artery (Figure 1).