Abstract

Right ventricular outflow tract obstruction in tetralogy of Fallot often includes the pulmonic valve, its anulus, the main and branch pulmonary arteries in addition to the expected infundibular narrowing. Widening of this multiple area of obstructions frequently necessitates patch augmentation. Both synthetic (Ivalon ®, Dacron ®, Teflon ®, Gore-Tex ®, Impra ®) and natural (dura mater and parietal pericardium) materials are used for this purpose. Debate has arisen as to which materials are preferable. 1

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