Primary repair was carried out in a neonate with an atypical form of
double outlet right ventricle; with a non-committed ventricular septal
defect and lack of the outlet septum between the semilunar valves. The
aortic arch was right-sided. The procedure required a right ventricular
incision. Intraventricular rerouting could be achieved concomitantly
with the arterial switch maneuver. Retrospectively, several strategies
were contemplated to seek whether any other approach could have been
superior to our present choice.