Tetralogy of Fallot is the most common cyanotic congenital heart disease and requires surgical repair. Strategy and timing/type of intervention is variable and depends on clinical symptomatology and institutional practice. Standardized lifelong postrepair surveillance is necessary to guide optimal timing of subsequent interventions, including diagnostic imaging. Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart disease (CHD). 1 Early management of this condition is typically