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Abstract
Thirteen patients with severe tetralogy of Fallot underwent reconstruction for hypoplastic pulmonary artery and diffuse tubular outflow tract obstruction using a preserved homograft or heterograft patch with single or double cusps. The early and late results with our valve-retaining patch provide encouragement for the further application of this method to patients having extremely hypoplastic right ventricular outflow tracts. Pulmonic grafts appear to be preferable to aortic grafts, although further evaluation of these pulmonary homografts and heterografts is needed.
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