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Arterial switch operation is the ideal corrective surgery for D-transposition of great arteries. I has to be done quite early in life before the left ventricular muscle mass regressed due to the lower load of the pulmonary circulation. Rare long term problems include narrowing of the pulmonary artery and aortic regurgitation due to aortic root enlargement. Delayed surgery has been undertaken with ECMO support in some cases.
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