[Arterial switching operation in the first hours of life of newborn babies with transposition of the main vessels diagnosed prenatally].

A global tendency of enhancement of a prenatal diagnosis establishment rate in critical inborn heart failures demands to overestimate the existing surgical strategy. Taking into account a present sufficient compensation of a newborn babies state, suffering main vessels transposition, in first hours of the patients life and existing possibility to approve a surgical tactics before the patient's birth after the prenatal diagnosis establishment, we have proposed an innovative approach, consisting of conduction of the arterial switching operation without preliminary performance of the balloon atrioseptostomy and preoperative medicinal therapy. The efficacy and security of a new approach were analyzed.