ACHD indicates adult congenital heart disease; CCT, cardiac computed tomography; CMR, cardiovascular magnetic resonance imaging; CPET, cardiopulmonary exercise test; d-TGA, dextro-transposition of the great arteries; ECG, electrocardiogram; and TTE, transthoracic echocardiogram. CLINICAL STATEMENTS AND GUIDELINES 4.4.1.3. Transposition of the Great Arteries With Rastelli Type Repair See Section 3.3 for recommendations on who should perform surgeries, cardiac catheterization, and other procedures in these patients; and Section 3.4 for rec- ommendations on diagnostic evaluation. The Rastelli operation is performed in patients with d-TGA with VSD and PS and for variations of double outlet right ventricle with PS. The operation consists of 2 main components: 1. An intracardiac baffle that directs oxygenated blood from the left ventricle via a nonrestrictive VSD to the aorta. 2. A right ventricle to-PA conduit, which is usually valved. The operation is designed to use the morphologic left ventricle as the systemic ventricle and the morpho- logic right ventricle as the subpulmonic ventricle. Long- term considerations after the Rastelli operation include: 1. Right ventricle to-PA conduit dysfunction (Section 2. VSD patch leaks/dehiscence (Section 4.1.3) 3. LV-to-aorta internal baffle stenosis (Section 4.2.3) 4. Scar-based VT Medical treatment, catheter interventions, and sur- gical interventions for each of these conditions, which may occur in isolation or in combination, may be con- sidered in accordance with the recommended treat- ments for each of the individual conditions as outlined in this guideline document. 4.4.1.4. Congenitally Corrected Transposition of the Great Arteries Recommendations for Congenitally Corrected Transposition of the Great Arteries Referenced studies that support recommendations are summarized in Online Data Supplement 47. 