The clamshell incision for bilateral pulmonary artery reconstruction in tetralogy of fallot with pulmonary atresia

Patients with tetralogy of Fallot/pulmonary atresia often have bilateral pulmonary artery lesions, including diminutive central and peripheral vessels, major aortopulmonary collaterals, and distortion from previous operations. Staged procedures through lateral thoracotomies and median sternotomies have traditionally been used for repair.Between October 1993 and December 1995, 10 patients 3 months to 15 years old with complex tetralogy of...