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Updated: Jan 11, 2026
Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Congenitally corrected transposition of the great arteries: outcomes after single ventricle palliation
Tianyu Chen1,2, Zewen Chen2,3, Miao Tian2,3
1Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Background:
Congenitally corrected transposition of the great arteries (ccTGA) is a rare congenital cardiac anomaly. As a viable alternative for complex anatomical variants, the outcomes of single-ventricle palliation (SVP) in ccTGA patients remain poorly defined.
Methods:
We conducted a single-center retrospective analysis of ccTGA patients who underwent SVP between January 2004 and December 2020.
Results:
A total of 73 patients were included. Patients with ccTGA undergoing SVP demonstrated excellent early and mid-term outcomes, with no observed mortality and freedom from MAEs of 96.0%, 93.6%, and 78.0% at 5, 10, and 15 years postoperatively, respectively.
Conclusions:
SVP can achieve excellent early and mid-term outcomes in carefully selected ccTGA patients. When complex biventricular repair is not feasible, SVP represents a safe and effective alternative.
Impact:
Single-ventricle palliation can achieve excellent outcomes in selected congenitally corrected transposition of the great arteries. When complex biventricular repair is not feasible, SVP represents a safe and effective alternative.
