A new operation for d-loop transposition of the great vessels.

Transposition of the great vessels remains a major problem for the cardiac surgeons. Although the Mustard (intraatrial baffle) procedure has provided the means for physiological correction of this anomaly, there are many complications that plague the lives of the survivors. This report describes an operation that is essentially extracardiac and achieves the desired goal of simple switching of the great vessels. Future revisions of the outflow tract prosthesis may become a major problem, but probably less of one than the complications that have been and will be associated with the intraatrial baffle procedure.