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Here, combined techniques are described in detail, including intraoperative pulmonary valve balloon dilatation, pulmonary valve reconstruction by delamination and resuspension of the leaflets, and pulmonary valve annulus augmentation. As with any other complex congenital heart disease, senior surgeons should select teaching cases, starting from the less severe side of the spectrum.<\/jats:p>","DOI":"10.1177\/2150135120968103","type":"journal-article","created":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T18:48:06Z","timestamp":1610563686000},"page":"116-123","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Evolving Techniques for the Achievement of Optimal Long-Term Results After Tetralogy of Fallot Repair"],"prefix":"10.1177","volume":"12","author":[{"given":"Giovanni","family":"Stellin","sequence":"first","affiliation":[{"name":"Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alvise","family":"Guariento","sequence":"additional","affiliation":[{"name":"Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vladimiro L.","family":"Vida","sequence":"additional","affiliation":[{"name":"Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,1,6]]},"reference":[{"key":"bibr1-2150135120968103","first-page":"200","volume-title":"Acta Medica et Philosophica Hafniensia","author":"Stensen N","year":"1671"},{"key":"bibr2-2150135120968103","first-page":"77","volume":"25","author":"Fallot E","year":"1888","journal-title":"Mars Med"},{"key":"bibr3-2150135120968103","unstructured":"Taussig HB, Blalock A. The tetralogy of Fallot diagnosis and indications for operation; the surgical treatment of the tetralogy of Fallot. Surgery. 1947;21(1):145. Accessed April 20, 2020. http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20279481"},{"key":"bibr4-2150135120968103","doi-asserted-by":"publisher","DOI":"10.1136\/thx.10.4.348"},{"key":"bibr5-2150135120968103","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)64025-8"},{"key":"bibr6-2150135120968103","unstructured":"Waterston DJ. Treatment of Fallot\u2019s tetralogy in children under 1 year of age. Rozhl Chir. 1962;41:181\u2013183. 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