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).