{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T22:18:26Z","timestamp":1788387506893,"version":"build-2803163510"},"reference-count":36,"publisher":"Royal College of Surgeons of England","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Congenitally corrected transposition of the great arteries (ccTGA) is a rare disorder. Here, we evaluated the effectiveness of physiological, anatomical and Fontan repair techniques for ccTGA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic database search in PubMed, Embase and Cochrane Central Register of Controlled Trials was conducted from inception to 5 June 2023. Random-effects network meta-analysis was performed, comparing mortality, postoperative arrhythmias, reintervention after definitive surgery and transplant-free survival in patients undergoing physiological, anatomical and Fontan repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>A total of 1,209 patients were included from nine studies. Fontan repair was associated with a higher rate of transplant-free survival (absolute risk [AR] 0.999 (\u00b10.0101), 95% confidence interval [CI]) and reintervention after definitive surgery (AR 0.098 (\u00b10.067), 95% CI), whereas the difference for mortality and postoperative arrhythmias did not reach statistical significance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Fontan repair is significantly better than anatomical or physiological repair in terms of transplant-free survival and also had a better rank probability for overall survival and reintervention after definitive surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1308\/rcsann.2026.0019","type":"journal-article","created":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T08:20:28Z","timestamp":1772698828000},"page":"510-517","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes for congenitally corrected transposition of great arteries using various surgical techniques: a systematic review and network meta-analysis"],"prefix":"10.1308","volume":"108","author":[{"given":"SU","family":"Hasan","sequence":"first","affiliation":[{"name":"Nottingham University Hospitals NHS Trust","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SUR","family":"Usmani","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SH","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Geisinger Health System, Danville, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Pervez","sequence":"additional","affiliation":[{"name":"Nottingham University Hospitals NHS 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M.\n                      Should all patients with congenitally corrected transposition of great arteries (ccTGA) undergo anatomic repair?\n                      https:\/\/www.aats.org\/resources\/should-all-patients-with-congenitally-corrected-transposition-of-great-arteries-cctga-undergo-anatomic-repair."}],"container-title":["The Annals of The Royal College of Surgeons of 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