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Our purpose was to describe the outcome of the Rastelli repair in D-transposition of the great arteries and to determine the risk factors associated with unfavorable events.

From March 1973 to April 1998, 101 patients with D-transposition of the great arteries and ventricular septal defect underwent a Rastelli type of repair. Median age and weight were 3.1 years (10th to 90th percentiles 0.3-9.9 years) and 12.8 kg (5.9-28.2). Pulmonary stenosis was present in 73 patients and pulmonary atresia in 18; 10 patients had no left ventricular outflow tract obstruction.

There were 7 early deaths (7%) and no operative deaths in the last 7 years of the study. Risk factors for early death, by univariable analysis, included straddling tricuspid valve (P = .04) and longer aortic crossclamping times (P = .04). At a median follow-up of 8.5 years, there were 17 late deaths and 1 patient had undergone heart …