Bilateral pulmonary artery banding for transposition of the great arteries complex with coarctation

Abstract Surgical approaches for transposition of the great arteries with aortic arch obstruction include primary repair and two-stage repair. However, neither approach provides a satisfactory outcome. We report a case of patient who underwent two-stage repair, wherein arterial switch operation combined with aortic arch reconstruction was preceded by bilateral pulmonary artery banding; this yielded good outcomes. This approach safely avoids primary repair in the neonatal period and allows for the opportunity to evaluate right ventricle outlet tract stenosis before the definitive repair. The incidence of transposition of the great arteries (TGA) with aortic arch obstruction (AAO) reaches 50% in cases of Taussig–Bing anomaly; however, it is relatively rare (5%) in non-Taussig–Bing anomalies.