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beneficial in many cases. Advent of percutaneous valves is changing the paradigm of re-interventions in
repaired TOF patients. A multimodality approach where diagnostic tools are utilized based on the age of the
patients, clinical scenario, and institutional practices/expertise forms the cornerstone of ongoing care and
surveillance for repaired TOF patients.

DECLARATIONS
Acknowledgments
We thank our colleagues at Children’s Hospital of Michigan for their collaborative care in taking care of our
patients. We thank our patients for allowing us the opportunity to be partners in their care.

Authors’ contributions
All authors contributed to the manuscript.
Aggarwal S, Singh G served as senior authors and edited and reviewed the final drafts of the manuscript.

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
All authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
Not applicable.

Consent for publication
Not applicable.

Copyright
© The Author(s) 2022.

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