“…Tetralogy of Fallot (characterized by infundibular hypoplasia and stenosis, malalignment VSD, RV hypertrophy, and an over-riding aorta) has a varied anatomic spectrum, including pulmonary stenosis, atresia, and absent pulmonary valve syndrome. Clinical presentation and management depend largely on the anatomy of the pulmonary valve and arterial architecture ( 1 , 2 , 3 ).…”