Duke Congenital Cardiac Surgery is a highly innovative program. This includes advancements in all-region perfusion for Norwood operation and arch reconstruction (Sustained total all-region: STAR Perfusion strategy), HAART Aortic Valve Repair Center of Excellence, minimally invasive adult and pediatric congenital heart surgery (PVR, AAOCA, right-sided lesions, VATS epicardial lead placement), and biventricular conversion and biventricular repair.