Update on the rapid two-stage arterial switch procedure

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Abstract
In 1989, we reported the results of surgical treatment in 11 patients with complete transposition and an intact ventricular septum or restrictive ventricular septal defect who had undergone a two-stage arterial switch procedure beyond the neonatal period with a short period (median 9 days) between banding of the pulmonary trunk and repair. The most common indication for the procedure was referral to our center after the neonatal period from a geographically distant center where the arterial switch procedure was not available. Other indications were multi-organ failure in the neonatal period which contraindicated corrective surgery at that time, as well as prematurity or late development of right ventricular dysfunction, which contraindicated correction at the atrial level planned at the referral center. In this report, we describe our continuing experience.