[Late results following Rastelli corrective operations in transposition of great vessels].

From 1974 to 1985, 19 patients with transposition of the great arteries, ventricular septal defect and pulmonary valve stenosis or atresia underwent Rastelli correction. The mean age of the patients at operation was 9.7 years. Four patients died on the day of operation (early mortality: 21%). One patient died 7 years later due to dysrhythmias (overall mortality: 26%). Cardiac catheterization was performed on average 1.8 and 6.7 years after the operation. Gradients above 40 mm Hg were registered in 70% of the conduits, 6 years after the operation. Five patients underwent six reoperations for conduit stenosis. The actuarial survival rate was 75%; the event-free survival rate was only 20% after 12 years.