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Objective:Hypothermic perfusion and cold cardioplegia are still the "gold standard" for arterial switch procedure.We propose an altemative with warm surgery.Methods:From 2001 to 2006 we have operated on 103 patients with transposition of the great arteries.74 were simple transposition in group 1 and 29 were associated with ventricular septal defect in group 2.The blood prime (125 ml for the bypass circuit and 15 ml for the cardioplegia circuit) was warmed to 37℃ and this temperature maintained during all the bypass time.