Transposition of the Great Arteries with VSD and LVOTO. The Autograft Procedure for RVOT (the “DREAM”)

In transposition of the great arteries, ventricular septal defect and LVOTO (pulmonary stenosis or atresia), the classical procedures described (Rastelli and REV) can lead to late complications like LV outflow tract obstruction and even more RV outflow tract obstruction leading to reoperations (almost 100 % in Rastelli, 33 % in REV).