Complex transposition of the great arteries

Abstract

Complex transposition of the great arteries includes cases of D-transposition of the great arteries that also have important coexisting malformations, such as ventricular septal defects, left or right ventricular outflow tract obstruction, and aortic arch anomalies. These patients represent approximately 25 % of all patients with D-transposition of the great arteries. The diagnosis and management of these patients can be considerably more complex than for simple transposition of the great arteries. With the improvement in diagnosis and perioperative management, new more advanced surgical procedures have been developed and the outcomes for these patients have improved. The current state of art for the care of these patients will be presented in this chapter.