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Figure 2 Ross-Switch-Konno Procedure

Once the aortic autograft is excised and the coronaries are mobilized, the main pulmonary artery is transected and an incision is extended across the pulmonary valve annulus and outlet septum connecting to the ventricular septal defect (VSD), if present. Enlargement of the left ventricular outflow tract is then accomplished by insertion of a triangular-shaped VSD patch.