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Inappropriate management of polycythaemia in adults with cyanotic congenital heart disease
  1. Adult Congenital Heart Disease Clinic,
  2. Guy’s Hospital, London SE1 9RT, UK
  3. email:

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Sir,—The editorial by Thorne1highlights misconceptions in the management of polycythaemia in adults with congenital heart disease. Inappropriate venesection is not only encountered in patients with inoperable cyanotic heart disease. Venesection and bone marrow suppression with radioactive phosphorus are also used in patients with operable congenital heart disease. Two recent cases are illustrative.

Case 1 is a 38 year old man with …

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