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Response to Letter Regarding Article, “Direction of Preoperative Shunting Affects Ventricular Mechanics After Tetralogy of Fallot Repair”
Author(s) -
Santos E. Cabreriza,
Jason Van Batavia,
Ralph S. Mosca,
Jan M. Quaegebeur,
Henry M. Spotnitz,
Marc E. Richmond,
Joshua Kanter,
Alan Weinberg,
T. Alexander Quinn
Publication year - 2009
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.109.856401
Subject(s) - medicine , tetralogy of fallot , columbia university , general surgery , cardiology , heart disease , media studies , sociology
We thank Dr DeGroff for his comments on our study of ventricular mechanics during repair of tetralogy of Fallot.1 We acknowledge that the use of 2-dimensional echo sections to represent the 3-dimensional left ventricle (LV) is limiting. The degree of error introduced by this compromise is unknown in the absence of more comprehensive imaging. However, we believe that our conclusions are essentially correct.As noted, Matsumori et al2 defined limitations of a biplane Simpson rule for LV volume determination in the presence of right ventricular (RV) pressure and volume overload. A modified Simpson rule, including area planimetry of …

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