Related Experiment Video
Updated: Jun 3, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Management of the ventricular septal defect during double switch operation for atrioventricular discordant
Constantine Mavroudis1, Robert D Stewart, Lourdes R Prieto
1Department of Pediatric and Adult Congenital Heart Surgery, Center for Pediatric and Adult Congenital Heart Diseases, Cleveland Clinic, The Children's Hospital, Cleveland, OH, USA. mavrouc@ccf.org
Abstract:
Management of the ventricular septal defect at the time of the double switch operation can be challenging and deserves careful attention to the anatomic details of ventricular septal defect location, alignment with the appropriate subtended ventricles and their respective atrioventricular valves, and the disposition of the specialized conduction tissue. These anatomic details can differ considerably from hearts with concordant atrioventricular alignments, and further variations of right-left geometry and septal alignment can be exhibited. A case is described that underscores some of the particular challenges associated with management of the ventricular septal defect during double switch operation for hearts with discordant atrioventricular connections and either transposition of the great arteries or double outlet right ventricle.
Related Concept Videos
Mitral Stenosis III: Medical Management
Mitral Regurgitation III: Medical Management
Mitral Regurgitation IV: Nursing Management
Aortic Regurgitation III: Medical Management
Cardiomyopathy V: Interprofessional Care
Mitral Valve Prolapse II: Assessment and Management

