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J Thorac Cardiovasc Surg 2008;135:1405
© 2008 The American Association for Thoracic Surgery

Letter to the Editor

Grey zone area for Glenn and future Fontan candidates

Sameh Ibrahim Sersar, MD

Division of Cardiothoracic Surgery, Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia

The first 20% of the full text of this article appears below.

To the Editor:

We enjoyed the very good article by Scheurer and colleagues.1Go We have a few comments.

Inhaled nitric oxide produces significant reduction in Glenn pressures and improvement in systemic perfusion and pulmonary gas exchange in patients with marked increases of Glenn pressures after bidirectional Glenn anastomosis. Patients who do not respond should be investigated for an anatomic lesion.2Go

Glenn shunt mortality was higher with surgical intervention before age 120 days but was not affected by surgical intervention during the respiratory virus season. Operations in the youngest age groups might adversely affect mortality.3Go

There were no . . . [Full Text of this Article]






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