Melody valve implantation in tetralogy of Fallot with acquired double right ventricular outflow tract

Figure 1. Tetralogy of Fallot with acquired double right ventricular outflow tract. Initial MRI (A) and final angiography in the native RVOT (B). CP stent implanted in Contegra conduit (CC) and AndraStent 43XL stent implanted in the native outflow tract (NOT). Selective coronary angiography (arrow) shows normal coronary flow in the anomalous coronary artery (*) between the Melody valves. MRI: magnetic resonance imaging

Tetralogy of Fallot (ToF) is the most common cyanotic congenital heart defect (≈4.5%)1. Approximately 5% have an anomalous coronary artery crossing the right ventricular outflow tract (RVOT)2.

A 14-year-old girl presented with ToF and an anomalous ...