Introduction
In dextro-transposition of the great arteries (d-TGA), the Jatene procedure was introduced in 1975, resulting in greatly improved outcomes1. However, systemic right ventricular (sRV) failure in adulthood becomes a problem in earlier types of correction, e.g., Mustard or Senning procedure 2. In the latter patient cohort, heart transplantation (HTX) is the only treatment for sRV failure. Intraoperative identification and orientation regarding the atrial chambers, as well as anatomic variation with respect to the position of the great arteries, represent technical challenges during HTX. Current literature contains few narrative reports on HTX after Mustard procedure 3,4. Here, we demonstrate a case along with a surgical video of successful HTX after Mustard operation.