Table 1

Lesions observed in the necropsied hearts that could have militated against surgical success

n%
Contraindications for atrial and arterial switch operations
Severe Ebstein’s malformation with very small trabecular component of the right ventricle28
Atrioventricular septal defect with common atrioventricular junction 28
Straddling and overriding of the tricuspid valve with hypoplasia of the right ventricle416
Ebstein’s malformation combined with mitral stenosis14
Subtotal936
Contraindications for atrial switch and Rastelli procedure
Severe subpulmonary diaphragmatic fibrous shelf, and restrictive1-150 perimembranous VSD28
Mixed subvalvar and valvar pulmonary stenosis and restrictive1-150 perimembranous VSD14
Severe valvar pulmonary stenosis and restrictive1-150 perimembranous VSD28
Subtotal520
Total 1456
  • 1-150 Septal defect diameter less than the aortic valve.

  • VSD, ventricular septal defect.