First Description of Double Switch Operation Including Senning and En-Bloc Rotation of Arterial Trunk for Congenitally Corrected Transposition and Pulmonary Stenosis: Excellent Early and Midterm Outcome

Background: En-bloc rotation of the arterial trunk (ERAT) was described for patients with complex dextro-transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction. We added the atrial switch procedure (AS) to the ERAT to adopt this technique for the repair of congenitally corrected transposition (cc-TGA) and pulmonary stenosis. We aimed to report our early/mid-term outcomes.