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The significance of pulmonary annulus size in the surgical management of transposition of the great arteries with ventricular septal defect and pulmonary stenosis
The Journal of Thoracic and Cardiovascular Surgery, 09/08/09
Park CS et al. – It was possible to extend the indication for the arterial switch operation with acceptable outcome to the patient with a Z–score of about -3 of the pulmonary annulus despite bicuspid pulmonary valve. Inasmuch as the arterial switch operation has benefits over the other options, a large–scale study is required for more reasonable triage in this group of patients.
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