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Catheter-based palliation is a safe and effective alternative in infants with tetralogy of Fallot who are at high risk for primary surgical repair. Catheter-based palliation is a safe and effective alternative in infants with tetralogy of Fallot who are at high risk for primary surgical repair.We consider the evolutionary plausibility of Osiurak and Reynaud's (OR) arguments. We argue that technical reasoning is not quite the magic bullet that OR assume, and instead propose a co-evolutionary account of the interplay between tec