Isolated transpulmonary repair of tetralogy of Fallot.

Between October 1987 and November 1992, 165 consecutive patients underwent isolated transpulmonary repair for tetralogy of Fallot. Their ages ranged from 1 to 44 years and their weight ranged from 6 to 61 kg (mean 19.4).

Pulmonary approach for closure of ventricular septal defect and resection of infundibular obstruction in malaligned ventricular septum.

Presented is the technique of closure through the pulmonary artery of the perimembranous ventricular septal defects and defects with malaligned septum as an alternative method to the transatrial or transventricular approach. The technique of infundibular resection without opening the right ventricle in cases of tetralogy of Fallot is also described.