Direct anastomosis of pulmonary artery-to-right ventricular outflow for correction of tetralogy of fallot with pulmonary atresia

A case of tetralogy of Fallot with well-developed infundibulum and pulmonary atresia was successfully repaired with direct anastomosis to reconstruct the pulmonary arterial trunk without using an extracardiac conduit. This technique may give the maximum chance for growth of the new pulmonary trunk and vasculature.