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I read with great interest the recently published study by Gatzoulis et al.. In their work, the authors have examined, by two-dimensional echocardiography, the morphology of the right ventricular outflow tract in 41 patients with tetralogy of Fallot compared with a group of 20 healthy controls and 15 patients with ventricular septal defect associated with malalignment of the outlet septum but no infundibular stenosis. This very interesting study by Gatzoulis et al. exactly corroborates the findings we described 14 years ago. In 1985, we detailed a modified two-dimensional echocardiographic subcostal view, the subcostal elongated right oblique view, which appears to be superior to the classic right anterior subcostal view in analysing the anatomical components of the right ventricular outflow tract in children. Using this new, original,

Two-dimensional echocardiography morphometric study of tetralogy of Fallot