Successful Rastelli Operation in Infant with Complete Transposition of Great Arteries, Levoposition of Aorta, and Subaortic Ventricular Septal Defect

Abstract A 10-month-old infant with complete transposition of the great arteries (TGA) {S, D, L} and large ventricular septal defect (VSD) without left ventricular outflow tract obstruction underwent successful Rastelli operation utilizing a 16 mm Hancock graft. The VSD was subaortic, and an internal conduit was placed easily. Postoperative hemodynamic conditions were satisfactory, and the patient was doing well eighteen months after operation. The feasibility of primary Rastelli operation for TGA and VSD in young infants is described.