Pediatr Cardiol

DOI 10.1007/s00246-008-9300-6

Received: 7 July 2008 / Accepted: 20 July 2008

© Springer Science+Business Media, LLC 2008


The Arterial Switch Operation Before Jatene



William N Evans, MD



ChildrenŐs Heart Center Nevada, 3006 S Maryland Pkwy Ste 690, Las Vegas, NV 89109, USA.




Attempts at the arterial switch operation predated the Senning and the Mustard venous switch procedures. No patients survived the earlier arterial switch methods. Therefore, from the 1960s to the 1980s, venous switch surgeries became the dominant treatment method

for transposition of the great arteries. The Brazilian cardiac surgeon, Adib Jatene, reported the first successful arterial switch in 1975. The history of the earlier arterial switches performed in the 1950s and 1960s is not well known. This article discusses that early history.


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