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Explain Transposition with VSD and Pulmonary Stenosis ?
In the early years Rastelli and le Compte operations had 20 to 30 per cent mortality. This has been reduced to 5 per cent in good centers. 10 year survival during follow-up is around 95 per cent. However, 15 and 20 year survival fall to 68 per cent and 52 per cent.
When operation is done at younger age re-operation rate is higher. For Le Compte procedure it is around 26 per cent and for Rastelli 67 per cent when followed up for longer periods.
Indications for Surgery : Patients usually present with fatigue, dyspnoea and ventricular arrhythmias. If they have additional tricuspid regurgitation, pulmonary valve replacement
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