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Objective Several authors have detailed their experiences with small cohorts of patients in light of expanding interest in using minimally invasive surgery (MIS) to treat tetralogy of Fallot (ToF). The goal of this study was to review an innovative MIS technique that results in a small tube-free surgical field. The technique clinical outcomes were examined in the largest cohort to date of patients with ToF treated with an MIS technique. Methods We reviewed all patients who underwent MIS at adoi:10.1101/2022.12.05.22283045 fatcat:s6wwdyhonvfydeteliyeqgtqg4