Brave Cowboy Labs is a Carbondale, Colorado-based development shop specializing custom applications for non-profit organizations and small businesses. Our philosophy is simple: simplicity, ease-of-use, and elegance. Put it another way: we want you to pick the right tool for the job. We've got the buzzwords like Ajax and Skip to main page content home • subscriptions • archives • feedback • authors • help • circulation journals home • aha journals home search: go advanced search user name password sign in articles pulmonary atresia with intact ventricular septum and ventriculocoronary communications: surgical significance. viagra without a doctor prescription buy cheap viagra generic viagra online generic viagra viagra without a doctor prescription viagra online viagra for sale viagra for sale cheap generic viagra india buy canadian viagra online today W n o'connor ; c m cottrill ; g l johnson ; j a noonan ; e p todd abstract the first stage of a repair of pulmonary atresia with intact ventricular septum (type i) was attempted in a 2-day-old infant. At surgery, decompression of the hypertensive small right ventricle was followed by a sudden loss of myocardial contractility and death. Postmortem examination revealed a fistula with a large orifice in the right ventricular infundibulum that communicated directly with the left main coronary artery. Severe hypertensive changes indicative of abnormally high perfusion pressure were noted in the distal left coronary artery branches. The clinical course suggests that the effect of relieving right ventricular outflow obstruction was a reduction of left main coronary artery blood flow, resulting in fatal intraoperative myocardial ischemia. This unusual case draws attention to the anomalous ventriculocoronary communications often present in pulmonary atresia and their potential for limiting a successful surgical repair. Copyright â© 1982 by american heart association citeulike connotea delicious digg facebook google+ mendeley reddit stumbleupon twitter what's this? â« prev article | next article â» table of contents this article circulation. 1982; 65: 805-809 doi: 10. 1161/​01. Cir. 65. 4. 805 â» abstract free pdf free classifications articles services e-mail this article to a friend alert me when this article is cited alert me if a correction is posted similar articles in this journal similar articles in pubmed download to citation manager request permissions citing articles load citing article information citing articles via google scholar google scholar articles by o'connor, w. N. Articles by todd, e. P. Search for related content pubmed pubmed citation articles by o'connor, w. N. Articles by todd, e. P. Related content load related internet resources information social bookmarking citeulike connotea delicious digg facebook google+ mendeley reddit stumbleupon twitter what's this? Current issu. Drupal, but we've also got perspective. And we know how to talk about strategy, technology, and geek stuff in plain English.

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