1. Direct Reconstruction of the Pulmonary Artery During the Arterial Switch Operation: An Interesting Surgical Option With Excellent Hemodynamic Results 
Thierry Carrel, Ilkka Mattila, Jean-Pierre Pfammatter, Mauri Leijala 
The Annals of Thoracic Surgery 
Volume 65, Issue 4, Pages (April 1998)
DOI: /S (98)

2. Fig. 1
Excision of the ostia of the left and right coronary arteries with a large portion of the corresponding sinus of Valsalva. Transection of the pulmonary artery is performed slightly more cranially than that of the aorta.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )

3. Fig. 2
Lecompte maneuver has been performed, and the coronary arteries haven been replanted in the corresponding sinus of the neo-aorta, which is anastomosed thereafter in the distal aorta.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )

4. Fig. 3
The distal pulmonary artery has been incised posteriorly into the bifurcation. The posterior commissure of the neo-pulmonary valve is resuspended into the posterior wall of the distal pulmonary artery.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )

5. Fig. 4
Completed direct reconstruction of the pulmonary outflow tract; the anterior remnant of the aorta (corresponding to the noncoronary sinus) allows for a tension-free anastomosis, which is conducted in different axes, thus avoiding circumferential narrowing.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )

6. Fig. 5
Intraoperative view during direct reconstruction of the right ventricular outflow tract. The posterior commissure of the aortic valve has been resuspended into the bifurcation of the pulmonary artery.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )