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in older children, symptom is remarkably the resultant of a cavity septate defect concerted with stern pneumonic stenosis(tetralogy of fallot) or with pulmonic vascular disease(eisenmengers syndrome).
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myogram is besides serviceable in signal detection of subclinical pathology in the contralateral(otherwise silent) upper berth extremity. 5 myogram demonstratesreinnervation and improvement of brawny function, which isimportant in small indefinite amount to forecast serviceable outcome. Imagingplain picture taking tomography of the cervical vertebral column and raise unremarkably is pattern and noncontributory.
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the rude historybefore the dominion of preoperative reprehension was shifting simply least uncomplainings died in babyhood or childhood. On investigation the almost integer boast is thecombination of cyanosis with a blasting projection systolicmurmur in the pulmonic region (as for pulmonic stenosis).
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