Stoica, SerbanKreuzer, MichaelaDorobantu, Dan-MihaiKostolny, MartinNosal, MatejHosseinpour, Amir-RezaMartinez, Fernando LavianaGenerali, TommasoHasan, AsifMair, RudolfHazekamp, Mark2023-05-032023-05-032022-07-20http://hdl.handle.net/10668/22340There are several choices for the correction of complex transposition of the great arteries and double outlet right ventricle not amenable to the Rastelli-type surgery, but outcome data are limited to small series. This study aims to report results after the aortic root translocation and en bloc rotation of the outflow tract procedures. This is a retrospective, multicentric, observational study. Clinical, anatomy, procedural, and detailed follow-up data (median, 4.43 years) were collected. A total of 70 patients (62.9% male; median age, 1 year; range 4 days to 12.4 years) were included: n = 43 in the aortic root translocation group and n = 27 in the en bloc rotation group. Those in the aortic root translocation group were older (P = .01) and more likely to have had previous procedures (P  Both aortic root translocation and en bloc rotation are valuable surgical options for the treatment of complex transposition of the great arteries and double outlet right ventricle. In the en bloc rotation group, there was better freedom from right ventricular outflow tract reinterventions, but a higher probability of aortic valve regurgitation. Identifying the main driving forces for these observed differences requires further study of these procedures.enAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/Nikaidohdouble outlet right ventricledouble-root rotationen bloc rotationtransposition of the great arteriesAortaAortic Valve InsufficiencyDouble Outlet Right VentricleFemaleHeart Septal Defects, VentricularHumansInfantMaleRetrospective StudiesRotationTransposition of Great VesselsTreatment Outcomeresearch article36028361open access10.1016/j.jtcvs.2022.05.0471097-685Xhttp://www.jtcvs.org/article/S0022522322007991/pdf