The intraoperative situs exposed extreme muscle proliferation. Although the manner of sutureless within situ pericardial restoration [4] was utilized, PVO recurred bilaterally, concerning PV segments distal for the anastomosis. On the chronilogical age of 6?months, stenotic regions of the correct and quit PVs were device dilated, along with bare-metal stents (Driver Run, Medtronic Incorporated., M