“…These findings were attributed to partial ventricular immobilization resulting from long-standing pericardial constriction and also could be the result of an inflammatory process extended into the myocardium [6] . There have been several reports regarding RVOT changes after Tetralogy of Fallot repairs [7 , 8] . To our knowledge, our case is the second case in the literature that show localized constrictive pericarditis presenting with giant RVOT [3] .…”