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J Am Coll Cardiol, 2000; 35:821
© 2000 by the American College of Cardiology Foundation
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LETTERS TO THE EDITOR

Describing patients with discordant ventriculoarterial connections

Robert H. Anderson, BSc, MD, FRCPatha

a Cardiac Unit, Institute of Child Health, 30 Guilford Street, London WC1N 1EH, United Kingdom

I congratulate Blume et al. (1) on the excellence of their analysis of patients undergoing the arterial switch operation. I am surprised, however, when they state that the larger part of their patient group had "d-transposition," without providing further definition of this contentious term. Does this mean, for example, that they excluded all those patients with complete transposition in which the aorta was to the left, such as those with mirror-imaged atrial arrangement (transposition {I,L,L})? And did they include those patients with a congenitally corrected transposition who had right-sided aortas, such as those with the transposition {I,D,D}? The group from Boston should now describe the anatomy of their patients with the same accuracy of analysis which they apply to their results.


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  1. Blume ED, Altmann K, Mayer JE, Colan SD, Gauvreau K, Geva T. Evolution of risk factors influencing early mortality of the arterial switch operation. J Am Coll Cardiol. 1999;33:1702–1709[Abstract/Free Full Text]




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