Pulmonary Valvotomy with Infundibular Resection : Infundibular obstruction in cases of pulmonary valvar stenosis could be primary or secondary. 11' this obstruction is significant, surgical resection has to be done at the time of pulinonary valvotomy. It can be done through the right atrium after retracting the tricuspid valve or trans pulinonasy after retracting that valve or through a single vertical right ventriculotoiny. After ventriculas resection vertical ventriculotoiny is sutured either directly or with a small pericardial patch.