Systematic review shows biventricular strategies may improve survival in double outlet right ventricle patients, highlighting coronary anatomy's role.
Contemporary double outlet right ventricle repair provides excellent long-term survival with early mortality <6%. Procedure selection should consider ventricular septal defect position, risk of postoperative left ventricular outflow tract obstruction, coronary anatomy, and patient size.
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Semyashkin et al. (2026) studied this question.
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