{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T09:54:23Z","timestamp":1791194063266,"version":"4.1.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Gen Thorac Cardiovasc Surg Cases"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A 4-year-old boy with dextrocardia, congenitally corrected transposition of the great arteries, pulmonary valve stenosis, and ventricular septal defect demonstrated progressive hypoxemia and mild-to-moderate mitral and tricuspid regurgitation. Cardiac magnetic resonance imaging revealed insufficient right ventricular volume for Senning-Rastelli type anatomical repair. Given the elevated surgical risk associated with mitral regurgitation and inadequate ventricular volume, an initial palliative approach was undertaken at 2 years of age, consisting of systemic-to-pulmonary shunt placement and mitral valve repair, which improved oxygenation and promoted right ventricular growth, with trivial mitral regurgitation. Subsequent imaging confirmed adequate ventricular development and trivial mitral regurgitation, allowing for definitive anatomic repair at 4 years and 7 months of age. The procedure comprised a Senning atrial switch combined with a Rastelli operation. The postoperative course was uneventful, and imaging demonstrated preserved biventricular function with minimal atrioventricular valve regurgitation and no evidence of outflow or pathway obstruction.<\/jats:p>","DOI":"10.1186\/s44215-026-00281-2","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T09:22:57Z","timestamp":1791192177000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful staged anatomic repair for congenitally corrected transposition with both atrioventricular valves\u2019 regurgitation: a case report"],"prefix":"10.1186","volume":"5","author":[{"given":"Yuji","family":"Fuchigami","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Toda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akinori","family":"Hirano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryusuke","family":"Hosoda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukino","family":"Iijima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0320-3682","authenticated-orcid":false,"given":"Takaya","family":"Hoashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"281_CR1","doi-asserted-by":"publisher","first-page":"1318","DOI":"10.1016\/j.jtcvs.2006.11.063","volume":"133","author":"T Shin\u2019oka","year":"2007","unstructured":"Shin\u2019oka T, Kurosawa H, Imai Y, et al. Outcomes of definitive surgical repair for congenitally corrected transposition of the great arteries or double outlet right ventricle with discordant atrioventricular connections: risk analyses in 189 patients. J Thorac Cardiovasc Surg. 2007;133:1318\u201328.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"281_CR2","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1016\/j.ejcts.2009.01.051","volume":"35","author":"M Ly","year":"2009","unstructured":"Ly M, Belli E, Leobon B, et al. Results of the double switch operation for congenitally corrected transposition of the great arteries. Eur J Cardiothorac Surg. 2009;35:879\u201383.","journal-title":"Eur J Cardiothorac Surg"},{"key":"281_CR3","doi-asserted-by":"publisher","first-page":"1952","DOI":"10.1016\/j.athoracsur.2009.08.014","volume":"88","author":"MG Gaies","year":"2009","unstructured":"Gaies MG, Goldberg CS, Ohye RG, et al. Early and intermediate outcome after anatomic repair of congenitally corrected transposition of the great arteries. Ann Thorac Surg. 2009;88:1952\u201360.","journal-title":"Ann Thorac Surg"},{"key":"281_CR4","doi-asserted-by":"publisher","first-page":"1348","DOI":"10.1016\/j.jtcvs.2011.08.016","volume":"142","author":"B Murtuza","year":"2011","unstructured":"Murtuza B, Barron DJ, Strumper O, et al. Anatomic repair for congenitally corrected transposition of the great arteries: a single-institution 19-year experience. J Thorac Cardiovasc Surg. 2011;142:1348\u201357.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"281_CR5","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1016\/j.jtcvs.2010.08.063","volume":"141","author":"SP Malhotra","year":"2011","unstructured":"Malhotra SP, Reddy VM, Qin M, et al. The hemi-Mustard\/bidirectional Glenn atrial switch procedure in the double-switch operation for congenitally corrected transposition of the great arteries: rationale and midterm results. J Thorac Cardiovasc Surg. 2011;141:162\u201370.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"281_CR6","first-page":"1227","volume":"40","author":"V Hraska","year":"2011","unstructured":"Hraska V, Mattes A, Haun C, et al. Functional outcome of anatomic correction of corrected transposition of the great arteries. Eur J Cardiothorac Surg. 2011;40:1227\u201334.","journal-title":"Eur J Cardiothorac Surg"},{"key":"281_CR7","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/j.athoracsur.2013.03.095","volume":"96","author":"T Hoashi","year":"2013","unstructured":"Hoashi T, Kagisaki K, Miyazaki A, et al. Anatomic repair for corrected transposition with left ventricular outflow tract obstruction. Ann Thorac Surg. 2013;96:61\u201320.","journal-title":"Ann Thorac Surg"},{"key":"281_CR8","doi-asserted-by":"publisher","first-page":"772","DOI":"10.1016\/j.hlc.2019.01.019","volume":"29","author":"K Ma","year":"2020","unstructured":"Ma K, Qi L, Hua Z, et al. Surgical outcomes of anatomical repair for congenitally corrected transposed great arteries. Heart Lung Circ. 2020;29:772\u201379.","journal-title":"Heart Lung Circ"},{"key":"281_CR9","doi-asserted-by":"publisher","first-page":"1980","DOI":"10.1016\/j.jtcvs.2022.01.049","volume":"164","author":"SP Marathe","year":"2020","unstructured":"Marathe SP, Chavez M, Schulz A, et al. Contemporary outcomes of the double switch operation for congenitally corrected transposition of the great arteries. J Thorac Cardiovasc Surg. 2020;164:1980\u201390.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"281_CR10","first-page":"ivae033","volume":"38","author":"F Yokohama","year":"2024","unstructured":"Yokohama F, Toh N, Kotani Y, et al. Long-term outcome and cardiac function after anatomic repair of congenitally corrected transposition. Interdiscip Cardiovasc Thorac Surg. 2024;38:ivae033.","journal-title":"Interdiscip Cardiovasc Thorac Surg"},{"key":"281_CR11","doi-asserted-by":"publisher","first-page":"1205","DOI":"10.1016\/j.jtcvs.2022.08.018","volume":"165","author":"Y Ono","year":"2023","unstructured":"Ono Y, Hoashi T, Imai K, et al. Comparison of long-term outcomes of atrial switch with Rastelli and physiological repair using left ventricle-to-pulmonary artery conduit for levo-transposition of the great arteries. J Thorac Cardiovasc Surg. 2023;165:1205\u201315.","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["General Thoracic and Cardiovascular Surgery Cases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s44215-026-00281-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s44215-026-00281-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s44215-026-00281-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T09:22:58Z","timestamp":1791192178000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s44215-026-00281-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,5]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["281"],"URL":"https:\/\/doi.org\/10.1186\/s44215-026-00281-2","relation":{},"ISSN":["2731-6203"],"issn-type":[{"value":"2731-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,5]]},"assertion":[{"value":"5 August 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 October 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"His parents permitted the utilization of his personal data for the development of medical science (20\/05\/2026).","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no competing interests to declare.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"43"}}