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To the Editor Right ventricular (RV) enlargement due to increased pulmonary regurgitation has been identified as a significant issue in patients after repair of tetralogy of Fallot. In a recent study, O'Meagher et al1 reported an interesting observation; exercise capacity and stroke volume are maintained with RV end-diastolic volume index (RVEDVi) above, as opposed to below, a commonly used cut-off (150 mL/m …
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