Transatrial closure of ventricular septal defect in corrected transposition of the Great Arteries

The repair of ventricular septal defect (VSD) in corrected transposition of the great arteries has presented many technical problems and was associated with a high mortality. Transatrial closure of the VSD in this malformation obviates many of the hazards and offers good exposure. The operative procedure in such a case is described in detail, and its merits are discussed.