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Arterial switch operation is the ideal corrective surgery for dextro transposition of great arteries (D-TGA). It was described by Jatene and colleagues in 1976. The initial report had two patients, aged 3 months and 40 days. First baby developed renal failure and succumbed on third post-operative day while the second patient survived. Both were operated upon with deep hypothermia and total circulatory arrest. The two coronary arteries with a piece of aortic wall attached, were transposed to the pulmonary artery. Aortic openings were closed with a patch. Aorta and pulmonary artery were transected, contraposed and anastomosed. The ventricular septal defect was closed with a patch.