{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:32:30Z","timestamp":1787499150224,"version":"build-2736575974"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Biventricular repair of congenitally corrected transposition of the great arteries (ccTGA) with a nonrestrictive ventricular septal defect (VSD) and left ventricular outflow tract obstruction (\u201ccomplex ccTGA\u201d) provides suboptimal long-term results and carry a high risk of surgical atrioventricular block (AVB). We report outcomes of a restrictive left ventricle-to-pulmonary artery (LV-PA) conduit without VSD closure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective single-centre review (January 1999\u2013January 2024) of complex ccTGA patients receiving a restrictive LV-PA conduit without VSD closure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine of 553 ccTGA patients met inclusion criteria (median age 5 years, weight 18 kg). Unfavorable anatomy was mainly due to inlet or remote VSD (n\u2009=\u20095) and\/or atrioventricular valves straddling (n\u2009=\u20092). Over a median follow-up of 12.5 years, there were no operative or late deaths and no permanent pacing for AVB. Freedom from reintervention was 62.5% at 10 years. At last follow-up, 8 of 9 patients were in NYHA class I\u2013II and median SpO2 was 95%. Tricuspid regurgitation was basent or mild in 8 cases and moderate in 1 case. 2 patients had decreased morphologic right ventricle function and morphologic left ventricular function was preserved in all.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Restrictive LV-PA conduit placement without VSD closure is a safe biventricular alternative in complex ccTGA unsuitable for anatomic repair or single-ventricle palliation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejcts\/ezag199","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:18:13Z","timestamp":1784546293000},"source":"Crossref","is-referenced-by-count":1,"title":["Restrictive Left Ventricle-to-Pulmonary Artery Conduit as an Alternative Biventricular Strategy in Complex Congenitally Corrected Transposition of the Great Arteries"],"prefix":"10.1093","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5911-3187","authenticated-orcid":false,"given":"Alexander","family":"Moiroux-Sahraoui","sequence":"first","affiliation":[{"name":"M3C-Paediatric Cardiac Surgery, H\u00f4pital Universitaire Necker Enfants-Malades, AP-HP , 75015 Paris,","place":["France"]},{"name":"Universit\u00e9 Paris Cit\u00e9 , Paris, 75006,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Derridj","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9 , Paris, 75006,","place":["France"]},{"name":"M3C-Paediatric Cardiology, H\u00f4pital Universitaire Necker Enfants-Malades, AP-HP , Paris, 75015,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9gol\u00e8ne","family":"Bernheim","sequence":"additional","affiliation":[{"name":"M3C-Paediatric Cardiac Surgery, H\u00f4pital Universitaire Necker Enfants-Malades, AP-HP , 75015 Paris,","place":["France"]},{"name":"Universit\u00e9 Paris Cit\u00e9 , Paris, 75006,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9gis","family":"Gaudin","sequence":"additional","affiliation":[{"name":"M3C-Paediatric Cardiac Surgery, H\u00f4pital Universitaire Necker Enfants-Malades, AP-HP , 75015 Paris,","place":["France"]},{"name":"Universit\u00e9 Paris Cit\u00e9 , Paris, 75006,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9375-2444","authenticated-orcid":false,"given":"Margaux","family":"Pontailler","sequence":"additional","affiliation":[{"name":"M3C-Paediatric Cardiac Surgery, H\u00f4pital Universitaire Necker Enfants-Malades, AP-HP , 75015 Paris,","place":["France"]},{"name":"Universit\u00e9 Paris Cit\u00e9 , Paris, 75006,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Vouh\u00e9","sequence":"additional","affiliation":[{"name":"M3C-Paediatric Cardiac Surgery, H\u00f4pital Universitaire Necker Enfants-Malades, AP-HP , 75015 Paris,","place":["France"]},{"name":"Universit\u00e9 Paris Cit\u00e9 , Paris, 75006,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Bonnet","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9 , Paris, 75006,","place":["France"]},{"name":"M3C-Paediatric Cardiology, H\u00f4pital Universitaire Necker Enfants-Malades, AP-HP , Paris, 75015,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Raisky","sequence":"additional","affiliation":[{"name":"M3C-Paediatric Cardiac Surgery, H\u00f4pital Universitaire Necker Enfants-Malades, AP-HP , 75015 Paris,","place":["France"]},{"name":"Universit\u00e9 Paris Cit\u00e9 , Paris, 75006,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"2026081802324842800_ezag199-B1","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1016\/j.jtcvs.2004.02.046","article-title":"Long-term outcome of surgically treated patients with corrected transposition of the great arteries","volume":"129","author":"Hraska","year":"2005","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2026081802324842800_ezag199-B2","doi-asserted-by":"publisher","first-page":"103","DOI":"10.4103\/0974-2069.84634","article-title":"The role of the Fontan operation in the treatment of congenitally corrected transposition of the great arteries","volume":"4","author":"Karl","year":"2011","journal-title":"Ann Pediatr Cardiol"},{"key":"2026081802324842800_ezag199-B3","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1016\/j.ejcts.2010.03.065","article-title":"Early prophylactic pulmonary artery banding in isolated congenitally corrected transposition of the great arteries","volume":"38","author":"Metton","year":"2010","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026081802324842800_ezag199-B4","doi-asserted-by":"publisher","first-page":"680","DOI":"10.1093\/ejcts\/ezs055","article-title":"Mid-term results of bidirectional cavopulmonary anastomosis and hemi-Mustard procedure in anatomical correction of congenitally corrected transposition of the great arteries","volume":"42","author":"Sojak","year":"2012","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026081802324842800_ezag199-B5","doi-asserted-by":"publisher","first-page":"735","DOI":"10.1016\/j.amjcard.2009.10.066","article-title":"Effects of morphologic left ventricular pressure on right ventricular geometry and tricuspid valve regurgitation in patients with congenitally corrected transposition of the great arteries","volume":"105","author":"Kral Kollars","year":"2010","journal-title":"Am J Cardiol"},{"key":"2026081802324842800_ezag199-B6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.ijcard.2015.05.142","article-title":"Pulmonary outflow obstruction protects against heart failure in adults with congenitally corrected transposition of the great arteries","volume":"196","author":"Helsen","year":"2015","journal-title":"Int J Cardiol"},{"key":"2026081802324842800_ezag199-B7","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1016\/j.ejcts.2004.05.051","article-title":"Functional biventricular repair using left ventricle? pulmonary artery conduit in patients with discordant atrioventricular connections and pulmonary outflow tract obstruction? does conduit obstruction maintain tricuspid valve function?","volume":"26","author":"Koh","year":"2004","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026081802324842800_ezag199-B8","doi-asserted-by":"publisher","first-page":"1222","DOI":"10.1016\/0002-9149(90)90978-A","article-title":"The natural and \u201cunnatural\u201d history of congenitally corrected transposition","volume":"65","author":"Lundstrom","year":"1990","journal-title":"Am J Cardiol"},{"key":"2026081802324842800_ezag199-B9","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1016\/j.ejcts.2005.01.061","article-title":"The RV\u2013PA conduit stimulates better growth of the pulmonary arteries in hypoplastic left heart syndrome","volume":"27","author":"Rumball","year":"2005","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026081802324842800_ezag199-B10","doi-asserted-by":"publisher","first-page":"446","DOI":"10.1002\/ccd.26502","article-title":"Dilatable pulmonary artery band: safety and efficacy of balloon dilatation","volume":"88","author":"Malekzadeh-Milani","year":"2016","journal-title":"Cathet Cardio Intervent"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/68\/8\/ezag199\/70674308\/ezag199.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/68\/8\/ezag199\/70674308\/ezag199.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T06:32:52Z","timestamp":1787034772000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezag199\/8762994"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8,3]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezag199","relation":{},"ISSN":["1010-7940","1873-734X"],"issn-type":[{"value":"1010-7940","type":"print"},{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,8]]},"article-number":"ezag199"}}