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August 1990

Atrioventricular Septal Defect Correction Caveats-Reply

Author Affiliations

Pediatric Cardiology University Hospital Leiden PO Box 9600 2300 RC Leiden the Netherlands

Am J Dis Child. 1990;144(8):849-850. doi:10.1001/archpedi.1990.02150320011004

In Reply.—We thank Dr Sissman for his comments. We aimed to compare

This department of AJDC is reserved for comment, criticism, observation, and discussion of "issues of current concern and importance for children's health." The Editor encourages our readers to express themselves on a variety of topics and issues. Further, we encourage the submission of unique and brief clinical and scientific observations that do not fulfill the criteria for original articles. patients with atrioventricular septal defect (AVSD) and Down syndrome with those with AVSD without Down syndrome. We did not mean to claim that the results of surgical correction of a complete AVSD were sufficient to warrant surgical treatment of these patients. The surgical mortality is indeed high in our study, but is comparable with that observed by others. The grim prognosis attendant on conservative treatment often leaves one no choice but to undertake attempts at surgical correction, even

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