{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:54:37Z","timestamp":1787500477815,"version":"build-2736575974"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Anatomic repair is the contemporary preferred management strategy for congenitally corrected transposition of the great arteries (ccTGA). Most outcome data derive from small single-centre series. The goal of this study was to review long-term outcomes of surgical treatment in a multicentre cohort of ccTGA patients in the Netherlands over a 28-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients with ccTGA undergoing anatomic repair (double switch repair, arterial switch operation with hemi-Mustard\/bidirectional Glenn, or Rastelli\/Nikaidoh with Mustard or hemi-Mustard\/bidirectional Glenn) between 1997 and 2025 were analysed retrospectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty-two patients underwent anatomic repair at a median age of 2.5 (IQR: 1.4-4.0) years. Overall hospital mortality was 6.5%, decreasing to 1.9% after 2006. At a median follow-up of 11.9 years, the 20-year survival exceeded 80%. Reoperation was required in 31%, most often for conduit replacement after the Rastelli\/Nikaidoh procedure, baffle obstruction or neoaortic valve\/root disease after a double switch procedure, and least often after the arterial switch with hemi-Mustard\/bidirectional Glenn (11.7%). Percutaneous interventions were performed in 16%. Complete atrioventricular block requiring a pacemaker implant occurred in one-third, whereas late atrial arrhythmias were infrequent (&amp;lt;10%). At the latest follow-up, systemic left ventricular function was preserved in most patients, with only 2 patients showing moderate dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>After an initial learning curve, anatomic ccTGA repair exhibited low operative mortality, good long-term survival and preserved systemic left ventricular function in the majority of patients. Reintervention rates are considerable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejcts\/ezag044","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T10:15:33Z","timestamp":1769422533000},"source":"Crossref","is-referenced-by-count":1,"title":["Surgical Outcomes of Anatomic Repair in Congenitally Corrected Transposition of the Great Arteries: A 28-Year, Multicentre Dutch Experience"],"prefix":"10.1093","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3640-603X","authenticated-orcid":false,"given":"Roel L F","family":"van der Palen","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, Leiden University Medical Centre , Leiden,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirolos A","family":"Jacob","sequence":"additional","affiliation":[{"name":"Division of Pediatrics, Cardiothoracic Surgery, Wilhelmina Children's Hospital, University Medical Centre Utrecht , Utrecht,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene M","family":"Kuipers","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, Emma Children's Hospital, Amsterdam UMC location University of Amsterdam, Amsterdam,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enza","family":"Sarlemijn","sequence":"additional","affiliation":[{"name":"Division of Pediatrics, Cardiothoracic Surgery, Wilhelmina Children's Hospital, University Medical Centre Utrecht , Utrecht,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara C","family":"Arrigoni","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University Medical Centre Groningen, Groningen ,","place":["The Netherlands"]},{"name":"Department of Cardiothoracic Surgery, Leiden 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