{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T23:20:34Z","timestamp":1790032834139,"version":"4.0.1"},"reference-count":23,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Funding and data for this analysis was provided by The Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD) after approval by the STS Access and Publication Task Force."}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Transposition of the great arteries with intact ventricular septum and left ventricular outflow tract obstruction (TGA\u2009+\u2009IVS\u2009+\u2009LVOTO) is a rare congenital cardiac malformation. This study aims to describe the operations performed for patients with TGA\u2009+\u2009IVS\u2009+\u2009LVOTO in the Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD) and review their short-term outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 112 patients with the diagnosis of TGA\u2009+\u2009IVS\u2009+\u2009LVOTO in the STS-CHSD who underwent cardiac surgery between January 1999 and June 2021 were included. Patients\u2019 characteristics, operative data, and postoperative outcomes were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 120 index cardiac operations were performed. The most common operations were the arterial switch procedure (n\u2009=\u200933), Glenn\/HemiFontan (n\u2009=\u200910), Fontan (n\u2009=\u20099), Rastelli with ventricular septal defect (VSD) creation (n\u2009=\u20096), Damus-Kaye-Stansel procedure (n\u2009=\u20095), heart transplant (n\u2009=\u20095), and atrial switch (n\u2009=\u20094). Concomitant repair of subvalvar aortic stenosis was coded in 7 of 33 patients undergoing the arterial switch operation. The overall operative mortality was 4.5% (5 deaths in 112 patients undergoing 120 index cardiac operations). The overall major complication rate was 19% (23 of 120 cases). Major complications occurred in 9 of 33 (27%) of the arterial switch operations. The most common complications were unplanned reoperation in 14 of 120 cases (12%) arrhythmias requiring pacemaker implantation in 5 of 120 (4.2%), and postoperative mechanical circulatory support in 4 of 120 (3.3%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The diagnosis of TGA\u2009+\u2009IVS\u2009+\u2009LVOTO is rare in the STS-CHSD. The most common procedures performed for this disease were the arterial switch operation (often with concomitant repair of subvalvar aortic stenosis), Rastelli with VSD creation, and palliative functionally univentricular operations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501351251329911","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T03:51:52Z","timestamp":1748317912000},"page":"751-760","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Transposition of the Great Arteries With Intact Ventricular Septum and Left Ventricular Outflow Tract Obstruction: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD)"],"prefix":"10.1177","volume":"16","author":[{"given":"Husain","family":"Esmaeil","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Surgery, The Montreal Children's Hospital of the McGill University Health Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9916-929X","authenticated-orcid":false,"given":"Jeffrey Phillip","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Congenital Heart Center, Division of Cardiovascular Surgery, Departments of Surgery and Pediatrics, University of Florida, Gainesville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Steven","family":"Bleiweis","sequence":"additional","affiliation":[{"name":"Congenital Heart Center, Division of Cardiovascular Surgery, Departments of Surgery and Pediatrics, University of Florida, Gainesville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7389-359X","authenticated-orcid":false,"given":"James D.","family":"St. Louis","sequence":"additional","affiliation":[{"name":"Departments of Surgery and Pediatrics, Children's Hospital of Georgia, Augusta University, Augusta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7897-8277","authenticated-orcid":false,"given":"Niharika","family":"Parsons","sequence":"additional","affiliation":[{"name":"STS Research and Analytic Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7861-3267","authenticated-orcid":false,"given":"James K.","family":"Kirklin","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, University of Alabama at Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4321-9382","authenticated-orcid":false,"given":"David M.","family":"Overman","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Children's Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladimiro L.","family":"Vida","sequence":"additional","affiliation":[{"name":"Pediatric and Congenital Cardiac Surgical Unit, Department of Cardiothoracic and Vascular Sciences, University of Padova, Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrzej","family":"Kansy","sequence":"additional","affiliation":[{"name":"Department for Pediatric and Congenital Heart Surgery, Children's Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bohdan","family":"Maruszewski","sequence":"additional","affiliation":[{"name":"Department for Pediatric and Congenital Heart Surgery, Children's Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zdzislaw","family":"Tobota","sequence":"additional","affiliation":[{"name":"Department for Pediatric and Congenital Heart Surgery, Children's Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Cattapan","sequence":"additional","affiliation":[{"name":"Pediatric and Congenital Cardiac Surgical Unit, Department of Cardiothoracic and Vascular Sciences, University of Padova, Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4112-9823","authenticated-orcid":false,"given":"Awais","family":"Ashfaq","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zohair","family":"Al-Halees","sequence":"additional","affiliation":[{"name":"King Faisal Cardiac Center, King Faisal Specialist Hospital &amp; 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