Abstract
As long-term outcomes of congenital heart diseases improve, the
probability of adult patients presenting for heart transplantation for
late failure of congenitally corrected heart disease also increases. In
patients with dextro-transposition of the great arteries (d-TGA) who
were initially treated in the era of Mustard or Senning procedures and
before Jatene procedure was introduced, progressive systemic right
ventricular failure represents a problem in the very long-term
follow-up. We report a rare case of heart transplantation as a third
operation 36 years after Mustard procedure in a patient with d-TGA
experiencing late failure of the systemic right ventricle.