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Transplantation after Mustard operation for transposition of the great arteries
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  • Shintaro Katahira,
  • Yukiharu Sugimura,
  • Hug Aubin,
  • Hayato Ise,
  • Yoshikatsu Saiki,
  • Artur Lichtenberg,
  • Ralf Westenfeld,
  • Udo Boeken,
  • Payam Akhyari
Shintaro Katahira
Heinrich-Heine-Universitat Dusseldorf
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Yukiharu Sugimura
Heinrich-Heine-Universitat Dusseldorf
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Hug Aubin
Heinrich-Heine-Universitat Dusseldorf
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Hayato Ise
Heinrich-Heine-Universitat Dusseldorf
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Yoshikatsu Saiki
Tohoku University
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Artur Lichtenberg
University Hospital Dusseldorf
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Ralf Westenfeld
Heinrich-Heine-Universitat Dusseldorf
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Udo Boeken
Heinrich-Heine-Universitat Dusseldorf
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Payam Akhyari
Heinrich-Heine-Universitat Dusseldorf
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Abstract

As long-term outcomes of congenital heart diseases improve, the probability of adult patients presenting for heart transplantation for late failure of congenitally corrected heart disease also increases. In patients with dextro-transposition of the great arteries (d-TGA) who were initially treated in the era of Mustard or Senning procedures and before Jatene procedure was introduced, progressive systemic right ventricular failure represents a problem in the very long-term follow-up. We report a rare case of heart transplantation as a third operation 36 years after Mustard procedure in a patient with d-TGA experiencing late failure of the systemic right ventricle.