Tetralogy of Fallot {S,D,I} is a recently discovered form of tetralogy
with solitus atria (S) and D-loop ventricles (D), but with inverted n
ormally related great arteries (I). Because of infundibuloarterial inv
ersion, the right coronary artery must traverse the stenotic pulmonary
outflow tract, increasing the risk of surgical trauma to the right co
ronary artery. Here we report a case of successful surgical repair of
tetralogy of Fallot {S,D,I} without the use of an extracardiac conduit
.