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Ann Thorac Surg 2001;71:905-906
© 2001 The Society of Thoracic Surgeons

Invited commentary

^a Division of Pediatric Cardiac Surgery, Lucile Packard Children’s Hospital, Stanford University School of Medicine, 300 Pasteur Dr, Stanford, CA 94305-5407, USA

e-mail: michael.black@stanford.edu

Successful and staged palliation of children especially with "single" ventricles depends to a large degree on the growth and arborization of the pulmonary vasculature. Perhaps unobtainable, a strategy that would prevent iatrogenic branch arterial stenosis, pulmonary hypertension or prosthetic graft thrombosis would be ideal. Tailoring the type and size of the systemic-to-pulmonary arterial shunt to each neonate’s unique anatomy and habitus remains difficult. Our first attempt at repair is frequently the best, thus a satisfactory neonatal surgical repair should allow a greater proportion of children ultimately achieving . . . [Full Text of this Article]

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