Absent pulmonary valve syndrome

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Child withTOF with absent pulmonary valve Panel one shows the dilated RV and Pulmonary artery. Panel 2 shows the dysplastic pulmonary valve and small annulus and the monocusp valve being made using native redundant pulmonary artery tissue. Panel 3 shows the decrease in pulmonary artery size with a limited patch on the PA thus reducing the size of the dilated main PA (The branch PA were just plicated) and the small trans annular patch which was placed to relieve the annular obstruction. Native dysplastic pulmonary valve leaflets were excised