Electronic Letters to:
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Robert H Anderson, Professor of Paediatric Cardiac Morphology Institute of Child Health, Univeristy College London
Send letter to journal:
r.anderson{at}ich.ucl.ac.uk Robert H Anderson
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Saliba and colleagues are to be congratulated on their study to establish the quality of life in the setting of complex congenital cardiac malformations. My comments are in no way intended as a criticism of their excellent and much-needed investigation. It is depressing, however, to note that anatomical description lags so far behind the sophisticated evaluation of status of health. It is very likely that none of the patients studied possessed an anatomically univentricular heart. Indeed, the criterion for inclusion was "complex congenital heart disease in which a biventricular repair can never be achieved". These patients have a functionally univentricular circulation, but the anatomic features unifying the group is presence of one big and one small ventricle. Can we not aspire to describe such patients in terms which even they themselves might understand? |
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