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Ann Thorac Surg 2003;76:1089
© 2003 The Society of Thoracic Surgeons

Invited commentary

James Jaggers, MD

Pediatric Cardiovascular Surgery, Duke University Medical Center, 5413 Hospital North, Box 3474, Durham, NC 27710, USA

e-mail: jagge003@mc.duke.edu

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

Fifteen years ago, low mortality with the arterial switch procedure was the measuring stick by which pediatric cardiac surgeons were measured. Because of technical modifications, increasing surgeon experience, and improvement in pediatric cardiac critical care, good outcomes are the rule rather than the exception.

In the last several years, pediatric cardiac surgical programs are increasingly being measured by results in the treatment of hypoplastic left heart syndrome (HLHS) and the Norwood procedure. While many surgeons are capable and skilled in the operation, there exists a wide discrepancy in the surgical results for these defects. Because of the complex nature of the pre- and postoperative care . . . [Full Text of this Article]




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