Table 2

Lesions observed echocardiographically that could have militated against surgical success

n%
Militating against the combined atrial and arterial switch operations
Severe Ebstein’s malformation with very small trabecular component of the right ventricle23.7
Straddling and overriding of the tricuspid valve with severe hypoplasia of the right ventricle611.3
Mitral stenosis with hypoplasia of the left ventricle11.8
Atrioventricular septal defect with common atrioventricular junction11.8
Subtotal1018.9
Producing problems for the atrial switch combined with the Rastelli procedure
Valvar pulmonary stenosis and restrictive perimembranous VSD2-150 35.6
Severe subpulmonary diaphragmatic fibrous shelf and perimembranous VSD2-150 35.6
Subtotal611.3
Total 1630.2
  • 2-150 Septal defect diameter less than the aortic valve, except in pulmonary atresia.

  • VSD, ventricular septal defect.