The arterial switch operation (ASO) is the procedure of choice for the
management of d-transposition of the great arteries (TGA). However, the
surgical management of infants older than 6 weeks with TGA and intact
ventricular septum (IVS) remains contentious. We report a case of late
presenting TGA, IVS with Systolic anterior motion(SAM) of mitral valve
with preserved left ventricle(LV) and its management.