Introduction
In dextro-transposition of the great arteries (d-TGA), the Jatene
procedure was introduced in 1975, resulting in greatly improved outcomes1. However, systemic right ventricular (sRV) failure
in adulthood becomes a problem in earlier types of correction, e.g.,
Mustard or Senning procedure 2. In the latter patient
cohort, heart transplantation (HTX) is the only treatment for sRV
failure. Intraoperative identification and orientation regarding the
atrial chambers, as well as anatomic variation with respect to the
position of the great arteries, represent technical challenges during
HTX. Current literature contains few narrative reports on HTX after
Mustard procedure 3,4. Here, we demonstrate a case
along with a surgical video of successful HTX after Mustard operation.