{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:12:51Z","timestamp":1777878771231,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T00:00:00Z","timestamp":1743120000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>A full-term neonate was transferred to our facility after a postnatal diagnosis of dextro (D)-transposition and a ventricular septal defect (VSD). Initial transthoracic echocardiogram revealed atrial situs solitus (S), D-looped ventricles, ventriculo-arterial discordance, and levo-malposition of the great arteries. A single coronary artery was found to be originating from the rightward and anterior sinus of the aortic root. Therefore, we discussed our operative plan as a multidisciplinary team given the atypical anatomy and ultimately decided upon a full repair with an arterial switch operation and VSD closure. We describe our operative technique employed to tackle this uncommon anatomy.<\/jats:p>","DOI":"10.1177\/21501351251322158","type":"journal-article","created":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T17:00:10Z","timestamp":1743181210000},"page":"549-551","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Coronary Challenge: Management of Dextro-Transposition With Levo-Malposed Great Vessels"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6639-1117","authenticated-orcid":false,"given":"Mark B.","family":"Lewis","sequence":"first","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery, Children\u2019s Hospital of Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John D.","family":"Cleveland","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery, Children\u2019s Hospital of Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Fenske","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery, Children\u2019s Hospital of Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luke M.","family":"Wiggins","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery, Children\u2019s Hospital of Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,28]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000036745.19310.BB"},{"issue":"5","key":"e_1_3_2_3_2","article-title":"Coronary artery pattern and outcome of arterial switch operation for transposition of the great arteries","volume":"82","author":"Mayer JE","year":"1990","unstructured":"Mayer JEJr, Sanders SP, Jonas RA, Casta\u00f1eda AR, Wernovsky G. Coronary artery pattern and outcome of arterial switch operation for transposition of the great arteries. Circulation. 1990; 82( 5 suppl): IV139\u2013 IV145. 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