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By R. H. Anderson, Siew Yen Ho (auth.), F. J. Macartney (eds.)

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Macartney, F. , Shinebourne, E. , Wilkinson, J. L. annd Tynan, M. J. (1979). Is 'tricuspid atresia' a univentricular heart. Pediatr. , 1, 51-56 25. Bharati, S. and Lev, M. (1979). The relationship between single ventricle and small outlet chamber and straddling and displaced tricuspid orifice and valve. Herz, 4, 176-183 26. Anderson, R. , Becker, A. , Macartney, F. , Rigby, M. L. and Wilkinson, J. L. (1984). The univentricular atrioventricular connection: getting to the root of a thorny problem.

The Mayo Clinic report one similar case of a patient who died postoperatively despite the use of Tolazoline 4 • It is not clear why such patients should be unsuitable for this operation unless they have more muscular pulmonary arteries which produce an exaggerated reaction to the insults of cardiopulmonary bypass and postoperative ventilation known to produce exacerbations of pulmonary hypertension in patients with more advanced pulmonary vascular obstructive disease 7 • 44 ATRIAL AND VENTRICULAR DEPENDENT CIRCULATIONS Age Fontan sets age limits of 4-15 years as optimal for this operation.

Becker, A. E. and Anderson, R. H. (1982). Atrioventricular septal defects. What's in a name? ]. Thorac. Cardiovasc. , 83, 461-469. 2. Carpentier, A. (1978). Surgical anatomy and management of the mitral component of atrioventricular canal defects. In Anderson, R. H. and Shinebourne, E. A. ) Paediatric Cardiology 1977, pp. 477-486. (Edinburgh: Churchill Livingstone) 3. Anderson, R. , Becker, A. , Freedom, R. , Macartney, F. , Shinebourne, E. , Wilkinson, J. L. and Tynan, M. J. (1984). Sequential segmental analysis of congenital heart disease.

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