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Eur J Cardiothorac Surg 2007;32:201. doi:10.1016/j.ejcts.2007.05.002
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Editorial comment

Fontan completion without surgery

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^_* Corresponding author. Tel.: +44 20 7034 8806; fax: +44 20 7034 8808. (Email: marc.deleval@hcahealthcare.co.uk).

The first 20% of the full text of this article appears below.

Completing a total cavopulmonary connection (TCPC) by interventional cardiac catheterisation has been suggested more than 10 years ago. Its feasibility has been demonstrated by a few animal and clinical studies. The article by Sallehuddin et al. [1] published in this issue of the journal provides some refinement and additional support for this evolving line of management. It also raises a number of questions related to the introduction of new interventional technologies. The feasibility of the procedure has been demonstrated and further technical innovations are expected to make it more reproducible and more effective. Where do we go from now? In this day and age of evidence-based medicine, some would argue that making arbitrary decisions about the effectiveness of interventions based . . . [Full Text of this Article]