Arterial Switch Using an Autologous Aortic Sinus Tube With the Lecompte Maneuver

d-Transposition of the great arteries with single coronary artery origin from sinus 1 with bilateral interarterial course is a rare occurrence. We present a case of a 5-day old neonate born with d-transposition of the great arteries and single coronary artery that was repaired with an arterial switch operation by the Lecompte maneuver and coronary artery reimplantation using an autologous coronary tube creation. Postoperative course was uneventful, and the patient was discharged home. Echocardiography showed a patent coronary artery, with normal left and right ventricular function.