Transposition of the great arteries. New technique for anatomical correction.

Abstract
A new technique was described for the correction of transposition of the great arteries by detransposition. An aortopulmonary window is created and a patch placed over this and the coronary ostia so that the coronary arteries arise from the new aorta. Thus, direct surgery on the coronary arteries is avoided with all the complications which may result from this in neonates and infants. A 4.2 kg infant, with transposition and ventricular septal defect, was successfully operated on using this technique. The indications for this type of operation were discussed. It should be used only in children with a left ventricular pressure at least half systemic.