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Previous Volume 333:391-392 August 10, 1995 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: With respect to the study by Bellinger et al. (March 2 issue),¹ in the large majority of newborns with transposition of the great arteries, in the absence of aortic-arch obstruction the arterial-switch operation can be performed with cardiopulmonary bypass and physiologic flow rates (minimum, 150 ml per kilogram of body weight per minute). Indeed, this has been the practice at my institution for the past 10 years in over 300 neonatal arterial-switch operations. Neither low-flow cardiopulmonary bypass nor circulatory arrest is required, except during closure of the atrial septal defect (about two minutes). In view of the . . . [Full Text of this Article]

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