Operative scheme. The PA branches were excised and closed by “L” shape. Aortic arch was directly reconstructed. A hand-made bicuspid conduit were applied for RVOT reconstruction. BCA: brachiocephalic artery, LCCA: left common carotid artery, DAo:descending aorta IAA: interruption of the aorta, LPA: left pulmonary artery, RPA: right pulmonary artery.