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Currently, the goal of administration would be to establish pulmonary circulation from the best ventricle (RV) with RV pressures that are preferably not even half of the systemic force to allow for closure of the ventricular septal problem. In the long term, clients with ToF-PA are in higher risk for reinterventions to handle pulmonary arterial or RV-pulmonary artery conduit stenosis, modern aortic root dilation and aortic insufficiency, and late death than those with less severe forms of
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