When to Opt for Univentricular versus Biventricular Repair in Complex Congenitally Corrected Transposition of the Great Arteries

Morgan K. Moroi; Alice V. Vinogradsky; Amee Shah; Kanwal Farooqi; Oliver Barry; Emile Bacha; David M. Kalfa

doi:10.1053/j.semtcvs.2025.03.012

When to Opt for Univentricular versus Biventricular Repair in Complex Congenitally Corrected Transposition of the Great Arteries

Morgan K. Moroi
, Alice V. Vinogradsky
, Amee Shah
, Kanwal Farooqi
, Oliver Barry
, Emile Bacha
, David M. Kalfa

Research output: Contribution to journal › Article › peer-review

Abstract

The surgical management of complex congenitally corrected transposition of the great arteries (ccTGA) remains a subject of ongoing debate due to wide anatomic variability and limited comparative outcomes data. Available strategies include the anatomic repair, physiologic repair, 1.5-ventricular repair, and biventricular repair, each selected based on anatomic severity and the presence of associated lesions. This commentary reviews the existing literature to inform decision-marking between univentricular, 1.5-ventricular, and biventricular repair strategies in complex ccTGA and underscores the need for further comparative studies to guide management.

Original language	English
Pages (from-to)	185-191
Number of pages	7
Journal	Seminars in Thoracic and Cardiovascular Surgery
Volume	37
Issue number	2
DOIs	https://doi.org/10.1053/j.semtcvs.2025.03.012
State	Published - 1 Jun 2025
Externally published	Yes

Keywords

Biventricular repair
Congenitally corrected transposition of the great arteries
Single ventricle palliation
Univentricular repair

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10.1053/j.semtcvs.2025.03.012

Cite this

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title = "When to Opt for Univentricular versus Biventricular Repair in Complex Congenitally Corrected Transposition of the Great Arteries",

abstract = "The surgical management of complex congenitally corrected transposition of the great arteries (ccTGA) remains a subject of ongoing debate due to wide anatomic variability and limited comparative outcomes data. Available strategies include the anatomic repair, physiologic repair, 1.5-ventricular repair, and biventricular repair, each selected based on anatomic severity and the presence of associated lesions. This commentary reviews the existing literature to inform decision-marking between univentricular, 1.5-ventricular, and biventricular repair strategies in complex ccTGA and underscores the need for further comparative studies to guide management.",

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AU - Shah, Amee

AU - Farooqi, Kanwal

AU - Barry, Oliver

AU - Bacha, Emile

AU - Kalfa, David M.

PY - 2025/6/1

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AB - The surgical management of complex congenitally corrected transposition of the great arteries (ccTGA) remains a subject of ongoing debate due to wide anatomic variability and limited comparative outcomes data. Available strategies include the anatomic repair, physiologic repair, 1.5-ventricular repair, and biventricular repair, each selected based on anatomic severity and the presence of associated lesions. This commentary reviews the existing literature to inform decision-marking between univentricular, 1.5-ventricular, and biventricular repair strategies in complex ccTGA and underscores the need for further comparative studies to guide management.

KW - Biventricular repair

KW - Congenitally corrected transposition of the great arteries

KW - Single ventricle palliation

KW - Univentricular repair

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AN - SCOPUS:105004892979

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IS - 2

ER -

When to Opt for Univentricular versus Biventricular Repair in Complex Congenitally Corrected Transposition of the Great Arteries

Abstract

Keywords

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