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The purpose of this study was to critically re-evaluate adequacy of these recommendations in our patient cohort. All cc-TGA patients undergoing anatomic repair between 2010 and 2019 were reviewed. Evaluated eligibility criteria for repair included age\u2009\u2264\u200915\u00a0years, LV mass index\u2009\u2265\u200945\u201350\u00a0g\/m<jats:sup>2<\/jats:sup>, LV mass\/volume ratio\u2009&gt;\u20090.9\u20131.5 and systolic LV to right ventricle pressure ratio\u2009&gt;\u200970\u201390% among others. Repair failure was defined as postoperative early mortality or LV dysfunction requiring mechanical circulatory support. Twenty-five patients were included (median [interquartile range] age at surgery 1.8\u00a0years [0.7;6.6]; median postoperative follow-up 3.2\u00a0years [0.7;6.3]). Median preoperative LV ejection fraction was 60% [56;64], indexed LV mass 48.5\u00a0g\/m<jats:sup>2<\/jats:sup> [43.7;58.1] and LV mass\/volume ratio 1.5 [1.1;1.6], respectively. A total of 12 patients (48%) did not meet at least one of the previously recommended criteria, however, all but two patients (92%) experienced favorable early outcome. Of 7 patients (28%) with indexed LV mass\u2009&lt;\u200945\u00a0g\/m<jats:sup>2<\/jats:sup>, 6 were successfully operated. There were two early repair failures (8%) with LV dysfunction: one patient died and one required mechanical circulatory support but recovered well. Surgery was performed successfully in patients with LV mass and volume <jats:italic>Z<\/jats:italic>-scores as low as\u2009\u2212\u20092 and\u2009\u2212\u20092.5, respectively. Anatomic correction for cc-TGA can be performed with excellent early outcome and is feasible even in patients with LV mass below previously recommended cut-offs. The use of LV mass and volume <jats:italic>Z<\/jats:italic>-scores might help to refine eligibility criteria.<\/jats:p>","DOI":"10.1007\/s00246-022-02841-z","type":"journal-article","created":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T18:02:41Z","timestamp":1644602561000},"page":"1214-1222","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Anatomic Repair of Congenitally Corrected Transposition: Reappraisal of Eligibility Criteria"],"prefix":"10.1007","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0153-0364","authenticated-orcid":false,"given":"Viktoria H. 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