ACC/AHA recommendations for surgical intervention in L-transposition of the great arteries


 * Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [mailto:psingh@perfuse.org]; ; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [mailto:kfeeney@perfuse.org]

Overview
ACC/AHA recommends different surgical options for patients with congenitally corrected/Levo-transposition of the great arteries

==(ACC/AHA) recommendations for surgical intervention in patients with congenitally corrected transposition of the great arteries (CCTGA) (DONOT EDIT)==

Class I

1. Surgeons with training and expertise in CHD should perform operations for patients with CCTGA for the following indications: For ACC/AHA Level of evidence and classes click:ACC AHA Guidelines Classification Scheme
 * 1. Unrepaired CCTGA and severe atrioventricular (AV) valve regurgitation. (Level of Evidence: B)
 * 2. Anatomic repair with atrial and arterial level switch/Rastelli repair in cases in which the left ventricle is functioning at systemic pressures. (Level of Evidence: B)
 * 3. Simple ventricular septal defect (VSD) closure when the VSD is not favorable for left ventricular (LV)-to-aorta baffling or is restrictive. (Level of Evidence: B)
 * 4. LV–to–pulmonary artery conduit in rare cases with LV dysfunction and severe LV outflow obstruction. (Level of Evidence: B)
 * 5. Evidence of moderate or progressive systemic AV valve regurgitation. (Level of Evidence: B)
 * 6. Conduit obstruction with systemic or nearly systemic right ventricular (RV) pressures and/or RV dysfunction after anatomic repair. (Level of Evidence: B)
 * 7. Conduit obstruction and systemic or suprasystemic LV pressures in a patient with nonanatomic correction. (Level of Evidence: B)
 * 8. Moderate or severe aortic regurgitation (AR)/neo-AR and onset of ventricular dysfunction or progressive ventricular dilatation. (Level of Evidence: B)