Abstract

Tetrology of Fallot (TOF) and related conditions like Double Chambered Right Ventricle(DCRV), Double Outlet Right Ventricle (DORV) and Ventricular Septal Defect with infundibular Pulmonary Stenosis (VSD PS) are increasingly being repaired through transatrial route because of poor long term results associated with right ventricular approach like increased incidence of arrhythmias and right ventricular dysfunction with the later approach. We have been almost exclusively using transatrial approach since last five years and have modified it a bit. We describe our modification in the intraoperative  technique for assessing adequacy of infundiblar muscle resection on the cardioplegic arrested heart, and have named the modification as Jhajhria Infundibular Resection Adequacy Assessment Technique ( JIRAAT). The advantages of such a technique are also discussed.

Keywords: Intracardiac repair,  tetralogy of Fallot, TOF, transatrial repair, RVOT, JIRAAT.