Heart transplantation for congenitally corrected transposition of the great arteries

A 36-year-old male had congenitally corrected transposition of the great arteries (cc-TGA) with heart failure underwent heart transplantation. Due to the abnormal alignment of the great arteries in cc-TGA, the transplantation required technical modifications. When harvesting the donor heart, extra length of the pulmonary artery was preserved. The donor's pulmonary artery was cut at its bifurcation. Anastomosis of the pulmonary artery followed anastomosis of the left and right atrium. Last, aortic anastomosis was performed. Preservation of extraordinary pulmonary artery of the donor's heart may be necessary to achieve an acceptable anastomosis. Heart transplantation for cc-TGA is technically feasible.