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The long-termfollow-up over a period of 2 to 5years of thefirst 7 survivors of complete correction with homograft reconstruction in pulmonary outflow atresia and extreme Fallot has been studied. Symptomatically, the patients have remained excellent with return to normal of the chest x-rays and electrocardiograms. Investigation has shown continued good function of the homograft aortic valve in the pulmonary position without evidence ofprogressive pulmonary stenosis or regurgita- tion. Calcification in the aortic wall is common and occurs quickly but does not interfere with the function of the valve. makes it easier to extend the incision up through the area of atresia or valve ring into the vertical incision in the pulmonary artery or region of its on July 15, 2023 by guest.
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Somerville et al. (1972) studied this question.
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