Patient, female 16 years old. Diagnosed with right ventricular double outlet, pulmonary valve stenosis, post bi-directional Grin surgery, 10 years ago in a foreign country bi-directional Grin surgery Beijing Anzhen Hospital Cardiac Surgery Center Song Shiqiu cyanosis recently aggravated decreased activity endurance, from a foreign well-known 3 A hospital transferred to our hospital. The case was complicated, and the second operation was risky. After thorough preoperative preparation, the right ventricular double outlet correction, Rastelli operation + superior vena cava-right atrial prosthetic revascularization was performed under general anesthesia in extracorporeal circulation in July 2012, which took 5 hours for the second operation.