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| Aortic Symposium: Presentations on Demand | |
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PLENARY CITATION AND EDITOR CHOICE ABSTRACTS
VALVE-SPARING ROOT PLENARY CITATION: Abstract 180  Aortic Root Surgery in Marfan Syndrome: Comparison of Valve-sparing versus Total Root Replacement. A Meta-analysis on 1650 patients (852 kb)Emiliano Angeloni, Umberto Benedetto, Simone Refice, Fabio Capuano, Antonino Roscitano and Riccardo Sinatra Cardiac Surgery Department, University of Rome “La Sapienza”, Ospedale S. Andrea, Rome, Italy EDITOR’S CHOICE: Abstract 11 Sinus Valsalva Asymmetry Is The “Normal” Aortic Root Anatomy (6.6 mb)A. C. Kollar Surgery, UTMB, Galveston, TX, USA Abstract 274 Bicuspid Aortic Valve (BAV) Repair with Valve-sparing Root Replacement (VSRR) Yields Equivalent Mid-term Results as VSRR Alone for BAV Patients Regardless of Degree of Aortic InsufficiencyT. G. Gleason1, F. Navid1, W. Szeto2, J. E. Bavaria2. 1. Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, PA, USA, 2. Cardiothoracic Surgery, University of Pennsylvania, Philadelphia, PA, USA Abstract 275 Partial Aortic Root Remodeling with Selective Replacement of the Non-coronary Sinus: Does Aortic Valve Morphology Influence Outcomes? (1.36 mb)L. Botta, A. Cannata, G. Bruschi, S. Trunfio, B. Merlanti, C. F. Russo, C. Taglieri, L. Martinelli Cardiac Surgery, Niguarda Cà Granda Hospital, Milano, Italy Abstract 294 Comparison Between Valve-Sparing Aortic Root Replacement and Modified Bentall (2.39 mb)Allan Stewart, Jonathan Yang, Mark Russo, Alexander Iribarne, Brendan F. Scully, Rachel Easterwood, Craig R. Smith Division of Cardiothoracic Surgery, Columbia University Medical Center, New York, NY, USA ASCENDING AORTA PLENARY CITATION: Abstract 50 Left Ventricular Outflow Tract Reconstruction and Translocation of the Aortic Valve for Annular Erosion (691 kb)S. Stamou, M. Murphy, N. T. Kouchoukos. Thoracic and Cardiovascular Surgery, Missouri Baptist Medical Center, Saint Louis, MO, USA Abstract 100 The Reoperative Aortic Root: Degenerative Failure vs. Infectious Destruction - Outcomes of the “True Redo-Root” Reconstruction (687 kb)R. K. Milewski1, A. S. Jassar2, A. Pochettino1, W. Y. Szeto1, N. D. Desai1, P. J. Moeller1, J. H. Gorman1, R. C. Gorman1, J. E. Bavaria1 1. Department of Cardiac Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA, 2. Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA EDITOR’S CHOICE: Abstract 43 Computational Analysis of Bentall Procedures and Native Aorta: A fluidodynamics and wall stress comparison (14.1 mb)L. Weltert1, R. De Paulis1, M. D. De Tullio2, R. Verzicco3, D. Maselli1, A. Bellisario1, R. Scaffa1, S. Nardella1 1. Heart Surgery, European Hospital, Rome, Italy, 2. Bioingegneria, Politecnico Universitario, Bari, Italy, 3. Università Tor Vergata, Rome, Italy Abstract 64 Wrapping Tape Operation for Poststenotic Aneurysm of the Ascending Aorta (570 kb)V. V. Popov1, L. L. Sytar2, O. O. Bolshak1, G. V. Knyshov3 1. Department of acquired heart diseases, National Amosov's Institute of Cardiovascular Surgery, Kyiv, Ukraine, 2. Department of pathology of aorta, National Amosov's Institute of Cardiovascular Surgery, Kyiv, Ukraine, 3. Department of acute coronary insufficiency, National Amosov's Institute of Cardiovascular Surgery, Kyiv, Ukraine Abstract 86 Fate of Un-replaced Sinuses of Valsalva in Bicuspid Aortic Valve Disease: Follow-up to 17 years (498 kb)C. B. Park1, H. I. Michelena2, T. M. Sundt1 1. Divisions of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, 2. Divisions of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA Abstract 231 Endovascular Repair of the Ascending Aorta (15.1 mb)P. Moeller1, W. Y. Szeto1, G. Moser1, N. D. Desai1, M. A. Acker1, A. Pochettino1, J. E. Bavaria2 1. Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA, 2. Division of Cardiovascular, Hospital of the University of Pennsylvania, Philadelphia, PA, USA Abstract 276 Ascending Aortic Aneurysm Biomechanical Properties Are Variable Depending on Aortic Valve Morphology (1 mb)J. E. Pichamuthu, J. A. Phillippi, T. G. Gleason, D. A. Vorp University of Pittsburgh, Pittsburgh, PA, USA Abstract 292 Hemodynamic Performance of Biologic Root Replacements: Pericardial Composite v. Porcine Bioroots (340 kb)N. Desai1, F. McCarthy2, W. Szeto1, A. Pochettino1, R. Erwin3, Y. El-Sayed3, J. Bavaria1 1. Cardiothoracic Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA, 2. University of Pennsylvania School of Medicine, Philadelphia, PA, 3. University of Pennsylvania, Philadelphia, PA, USA AORTIC ARCH PLENARY CITATION: Abstract 93 Branch First Aortic Arch Repair without Deep Hypothermia or Circulatory Arrest (1.7 mb)G. Matalanis Cardiac Surgery, Austin Hospital, Kew, Australia Abstract 136 Bovine Arch Anomaly - An Opportunity to Screen for Thoracic Aortic Aneurysm (2.13 mb)R. Moomiaie, M. Hornick, H. Mojibian, M. Tranquilli, J. Elefteriades Section of Cardiac Surgery, Yale School of Medicine, New Haven, CT, USA Abstract 257 The Limited Potential for Hybridised Thoracic Endovascular Aortic Reconstruction (h-TEVAR) in Patients Undergoing Conventional Aortic Arch Replacement (CAR) (366 kb)M. Bashir, A. Ranasinghe, D. Quinn, J. Mascaro, B. Holloway, R. Bonser Cardiothoracic Department, University Hospitals of Birmingham-Queen Elizabeth Hospital, United Kingdom EDITOR’S CHOICE: Abstract 90 Impact of Autologous Platelet Rich Plasma Transfusion on Clinical Outcome in Ascending Aortic Surgery with Deep Hypothermic Circulatory Arrest (1.75 mb)S. Zhou1, A. L. Estrera2, S. Panthayi1, C. Ignacio1, A. Z. Chuang1, H. J. Safi2, R. Sheinbaum1 1. Anesthesia, University of Texas at Houston Medical School, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA, 2. Cardiothoracic and Vascular Surgery, University of Texas at Houston Medical School, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA Abstract 138 Arch Debranching versus Elephant Trunk Procedures for Hybrid Repair of Proximal Thoracic Aortic Pathologies (3.1 mb)C. W. Lee1, P. J. Hess2, T. D. Martin2, T. M. Beaver2, C. T. Klodell2, R. J. Feezor1, W. A. Lee1 1. Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, University of Florida, Gainesville, FL, USA, 2. Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, FL, USA Abstract 190 Kommerell’s Diverticulum Repair with Right Sided Aortic Arch: Strategies and Techniques (1.84 mb)P. D. Smith1, W. Y. Szeto2, T. B. Reece1 1. Department of Surgery, University of Colorado, Aurora, CO, USA, 2. Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA Abstract 216 The Efficacy of Debranching TEVAR for Arch Aneurysms in High Risk Patients (5.3 mb)Y. Shirakawa, T. Kuratani, K. Shimamura, M. Takeuchi, K. Kin, T. Yoshida, Y. Sawa Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan Abstract 273 Evolving Treatment Strategies for Aortic Coarctation and Late Complications in Teens and Adults (1.3 mb)E. E. Roselli1, A. Pujara1, L. G. Svensson1, R. K. Greenberg2, L. Latson3 1. Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA, 2. Vascular Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA, 3. Pediatric Cardiology, Cleveland Clinic Foundation, Cleveland, OH, USA CEREBRAL PROTECTION EDITOR’S CHOICE: Abstract 41 Routine Hypothermia with Circulatory Arrest and Retrograde Cerebral Perfusion for Ascending Aortic ReconstructionA. W. ElBardissi1, S. F. Aranki1, L. H. Cohn1, S. K. Shernan1, D. Fitzgerald1, R. M. Bolman2 1. Division of Cardiac Surgery, Brigham and Women's Hospital, Brookline, MA, USA, 2. Division of Cardiac Surgery, Brigham and Women's Hospital, Boston, MA, USA Abstract 128 Deep Hypothermic Circulatory Arrest in the Elderly: Is It Safe? (1.4 mb)A. Zimmet1, I. Kron1, A. Speir2, C. E. Fonner3, I. Crosby1 1. Division Thoracic and Vascular Surgery, University of Virginia, Charlottesville, VA,USA, 2. Inova Fairfax Hospital, Falls Church, VA, USA, 3. Virginia Cardiac Surgery Quality Initiative, Lenexa, KS, USA Abstract 175 Strokes in Ascending Aortic Repairs: Predictive and Protective Factors (1.14 mb)Tovy Haber Kamine, Steven R Messé, Elizabeth Leitner, Joseph Bavaria, Michael McGarvey 1. Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA, 2. Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, PA, USA Abstract 213 Risk-adjusted and Case-matched Comparative Study Based on Japan Adult Cardiovascular Surgery Database between Antegrade and Retrograde Cerebral Perfusion in Aortic Arch Surgery (836 kb)A. Usui1, H. Miyata2, Y. Ueda1, N. Motomura3, S. Takamoto4 1. Cardiac Surgery, Nagoya University, Nagoya, Japan, 2. Healthcare Quality Assessment, Tokyo University, Tokyo, Japan, 3. Cardiac Surgery, Tokyo University, Nagoya, Japan, 4. Cardiac Surgery, Mitsui Memorial Hospital, Tokyo, Japan Abstract 255 What Is The Relationship Between Near Infrared Spectroscopic (nirs) Regional Mixed Arterio-venous Oxygen Saturation (rso2) and Jugular Bulb Venous Saturation (sjo2) during Core Cooling (cc) and Bilateral Selective Antegrade Cerebral Perfusion (sacp)? (13.1 mb)V. B. Dronavalli1, A. Menon1, D. Green2, T. Jones3, J. Mascaro1, R. S. Bonser1 1. Cardiothoracic Surgery, Queen Elizabeth Hospital, University Hospital Birmingham, UK, Birmingham, United Kingdom, 2. Anaesthetics, Queen Elizabeth Hospital, University Hospital Birmingham, UK, Birmingham, United Kingdom, 3. Cardiothoracic Surgery, Birmingham Childrens Hospital, Birmingham, United Kingdom DESCENDING/THORACOABDOMINAL AORTA PLENARY CITATION: Abstract 89 Aortic Remodeling after Endovascular Repair of the Descending Thoracic Aorta (11.9 mb)G. Moser1, P. Moeller1, T. Bavaria1, A. Zeeshan1, J. E. Bavaria2 1. Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA, 2. Divison of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA Abstract 200 Does TEVAR Provide a Financial Benefit for Management of Descending Thoracic Aortic Pathologies? (598 kb)P. Narayan, A. Wong, I. Davies, A. J. Bryan, P. Wilde, G. J. Murphy Bristol Heart Institute, Bristol, United Kingdom EDITOR’S CHOICE: Abstract 91 Impact of Autologous Platelet Rich Plasma Transfusion on Clinical Outcomes in Descending Thoracic Abdominal Aortic Aneurysm Repair (4.1 mb)S. Zhou1, A. L. Estrera2, T. Li1, C. Ignacio1, S. Panthayi1, A. Chuang1, H. J. Safi2, R. Sheinbaum1 1. Anesthesia, University of Texas at Houston Medical School, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA, 2. Cardiothoracic and Vascular Surgery, University of Texas at Houston Medical School, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA Abstract 165 US Trends in Thoracic Aneurysm Repair (127 kb)T. Beaver1, J. J. Shuster2, K. L. Walker1 1. Surgery, University of Florida, Gainesville, FL, USA, 2. Biostatistics, University of Florida, Gainesville, FL, USA Abstract 214 Effects of Endovascular Treatment of Thoracic Aortic Diseases on Aortic Hemodynamics: Impact on the Remaining Aorta (2.2 mb)D. F. Gaia, E. Buffolo, J. H. Palma, J. C. Guilhen, C. B. Ferreira. Cardiovascular surgery, Federal University Of Sao Paulo, Sao Paulo, Brazil Abstract 297 The Use of Thoracic Endovascular Stent Grafting (TEVAR) in Acute Aortic Tragedies as Compared to Open Surgical Repair (512 kb)Tyler J. Wallen, Wilson Y. Szeto, Nimesh Desai, Nishtha Sodhi, Patrick Moeller, Alberto Pocchetino, Joseph E. Bavaria Cardiovascular Surgery, The University of Pennsylvania Health System, Philadelphia, PA, USA DISSECTION: TYPE A AND GENERAL PLENARY CITATION: Abstract 73 Acute Type A Intramural Hematoma: Analysis of Current Management Strategy (2.8 mb)A. L. Estrera1, C. C. Miller2, T. Lee3, P. DeRango4, T. Kaneko1, H. J. Safi1 1. Cardiothoracic and Vascular Surgery, University of Texas at Houston Medical School, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA, 2. Biomedical Sciences, Texas Tech University Medical School, Houston, TX, USA, 3. Cardiac Surgery, Asan Medical Center, Seoul, Korea, Democratic People's Republic of, 4. Vascular and Endovascular Surgery, University of Perugia, Perugia, Italy Abstract 80 Acute Type B Aortic Dissection: Results of a Standardized Management Protocol (2.8 mb)A. L. Estrera1, C. D. Nugent1, J. Goodrick1, C. C. Miller2, H. J. Safi1 1. Cardiothoracic and Vascular Surgery, University of Texas at Houston Medical School, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA, 2. Biomedical Sciences, Texas Tech University Medical School, El Paso, TX, US Abstract 145 Does the Type of Aortic Root Repair In Acute Type A Dissection Matter? A Comparison between Valve Sparing Procedures and the “Gold Standard.” (923 kb)T. Hanke, H. Sier, E. I. Charitos, U. Stierle, H. Sievers Clinic for Cardiac and Thoracic Vascular Surgery, University of Lübeck, Lübeck, Germany EDITOR’S CHOICE: Abstract 27 Hybrid Approach to Type A Acute Aortic Dissection: The Lupiae Technique (4.4 mb)G. Esposito, S. Bichi Cardiovascular Surgery Department, Città di Lecce Hospital, Lecce, Italy Abstract 45 Impact of Transapical Aortic Cannulation for Acute Type A Aortic Dissection (2.7 mb)E. Suenaga, M. Sato, H. Fumoto, H. Kawasaki Division of Cardiovascular surgery, Nagasaki Kouseikai Hospital, Nagasaki, Japan Abstract 71 Outcomes of Acute Type A Aortic Dissection After Previous Cardiac Surgery (4.5 mb)A. L. Estrera1, C. C. Miller2, T. Kaneko1, T. Lee3, J. Walkes1, H. J. Safi1 1. Cardiothoracic and Vascular Surgery, University of Texas at Houston Medical School, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA, 2. Biomedical Sciences, Texas Tech University Medical School, El Paso, TX, USA, 3. Cardiac Surgery, Asan Medical Center, Seoul, Korea, Democratic People's Republic of Korea Abstract 83 Surgical Results of Acute Type A Aortic Dissection Complicated by Cerebral Malperfusion: Impact of immediate repair on neurological outcome (353 kb)D. Nakatsuka, K. Yamanaka Cardiovascular Surgery, Tenri hospital, Tenri-city, Japan Abstract 111 Does Operative Technique of Performing Distal Anastomosis in Acute Type A Aortic Dissection Affect Early and Late Clinical Outcomes? (178 kb)S. Stamou1, N. Kouchoukos1, R. C. Hagberg2, K. Khabbaz2, R. M. Stiegel3, M. K. Reames3, E. Skipper3, M. Nussbaum3, F. Robicsek3, K. W. Lobdell3 1. Thoracic and Cardiovascular Surgery, Missouri Baptist Medical Center, Saint Louis, MO, USA, 2. Thoracic and Cardiovascular Surgery, Beth Israel Deaconness, Boston, MA,USA, 3. Thoracic and Cardiovascular Surgery, Carolinas Medical Center, Charlotte, NC, USA Abstract 126 Comprehensive Management of Aortic Dissection--New Classification and Mid-term Results (3.1 mb)D. Yi, J. Yang, S. Yu, W. Chen, J. Liu Xijing Cardiovascular Hospital, Xi'an, China Abstract 129 D-dimer Level Remains a Highly Sensitive Test for Acute Aortic Dissection Beyond the First 24 Hours After OnsetS. A. LeMaire1, L. Russell1, N. R. Barshes2, P. M. Allison3, D. E. Hass3, Y. H. Shen1, D. M. Milewicz4, J. S. Coselli1 1. The Texas Heart Institute at St. Luke's Episcopal Hospital, and Baylor College of Medicine, Houston, TX, USA, 2. Department of Surgery, Baylor College of Medicine, Houston, TX, USA, 3. Cardiovascular Pathology, The Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, TX, USA, 4. Division of Medical Genetics, The University of Texas Medical School at Houston, Houston, TX, USA Abstract 187 Reoperation after Surgical Correction of Acute Type A Aortic Dissection: Risk Factor AnalysisG. Concistrè, E. Santaniello, G. Casali, A. Montalto, B. Fiorani, A. Loforte, A. Dell'Aquila, F. Musumeci Department of Cardiac Surgery and Heart Transplantation, San Camillo Hospital, Roma, Italy Abstract 207 The Effect of Age on Cost and Outcomes Following Thoracic Aortic DissectionM. S. Slater, B. S. Diggs, F. A. Tibayan, S. G. Guyton, H. K. Song Surgery, Oregon Health and Sciences University, Portland, OR, USA DISSECTION: TYPE B PLENARY CITATION: Abstract 26 Current Methods and Results of Endovascular Treatment of Acute Complicated Type B Aortic Dissection in North America (11.3 mb)A. Khoynezhad1, C. E. Donayre2, R. A. White2 1. Division of Cardiothoracic and Vascular Surgery, Creighton University Medical Center, Omaha, NE, USA, 2. Division of Vascular and Endovascular Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA Abstract 184 Strategy of Thoracic Endovascular Aortic Repair for Acute Aortic Dissection (622 kb)Y. Takuya, T. Kuratani, K. Shimamura, Y. Shirakawa, M. Takeuchi, K. Kin, Y. Sawa Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Japan, Suita City, Osaka, Japan Abstract 268 Distal Aortic Fenestration Facilitates Endovascular Elephant Trunk Completion and Eliminates Retrograde False Lumen Filling of Chronic Dissection (2.55 mb)E. E. Roselli, A. Pujara Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA EDITOR’S CHOICE: Abstract 189 Long-term Result of Acute Type B Aortic Dissection (1.58 mb)S. Miyahara, M. Fukuzumi, N. Morimoto, K. Nakagiri, N. Mukouhara. Cardiovascular surgery, Hyogo Brain and Heart Center at Hmeji, Himeji, Japan OTHER PLENARY CITATION: Abstract 253 Thoracic Aortic Mobile Thrombus (TAMT): Is There a Role for Early Surgical Intervention? (2.25 mb)S. Pagni, A. Slater, C. E. Mascio, A. J. Dwivedi, B. L. Ganzel, M. L. Williams, J. R. Trivedi, C. Ross, M. S. Slaughter Surgery, University of Louisville, Louisville, KY, USA EDITOR’S CHOICE: Abstract 44 Defining Acute Aortic Syndrome Following Trauma: Are Abbreviated Injury Scale (AIS) Codes a Useful Surrogate Descriptor? (1.85 mb)M. L. Field1, M. Bashir1, P. Sastry1, R. Cuerden2, D. Richens3 1. Cardiac Surgery, The Liverpool Heart and Chest Hospital, Liverpool, United Kingdom, 2. Transport Research Laboratory, Loughborough, United Kingdom, 3. Cardiac Surgery, The Trent Cardiac Centre, Nottingham, United Kingdom Abstract 72 Progress in the Treatment of Blunt Thoracic Aortic Injury: 12-year Single Institution Experience (4.1 mb)A. L. Estrera1, D. Gochnour1, C. C. Miller2, A. Azizzadeh1, S. Coogan1, J. Holcomb3, H. J. Safi1 1. Cardiothoracic and Vascular Surgery, University of Texas at Houston Medical School, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA, 2. Biomedical Sciences, Texas Tech University Medical School, El Paso, TX, USA, 3. Surgery, University of Texas at Houston Medical School, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA Abstract 77 Results for the Surgical Management of Thoracic Aortic Infections (1 mb)T. Kaneko1, A. L. Estrera1, J. Dhareshwar1, C. C. Miller2, H. J. Safi1 1. Cardiothoracic and Vascular Surgery, University of Texas at Houston Medical School, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA, 2. Biomedical Sciences, Texas Tech University Medical School, Houston, TX, USA Abstract 107 Optimal Graft Diameter and Location Reduce Postoperative Complications after Total Arch Replacement with a Long Elephant Trunk for Arch Aneurysm (5.9 mb)K. Taniguchi, K. Toda, T. Funatsu, H. Kondoh, K. Sakakibara Cardiovascular Surgery, Osaka Rosai Hospital, Sakai, Japan Abstract 158 Results of Aortic Valve Repair according to Valve Morphology and Surgical Techniques (735 kb)K. Fattouch1, R. Sampognaro2, G. Speziale3, M. Caruso2, P. Dioguardi1, S. Novo2, G. Ruvolo1 1. Cardiac surgery, University of Palermo, Palermo, Italy, 2. Cardiology, University of Palermo, Palermo, Italy, 3. Cardiac surgery, Anthea Hospital, Bari, Italy Abstract 246 Packing the Chest - Harbinger of Death or a Useful Hemostatic Manoeuvre in Aortic Surgery: A Matched Case-control Study (613 kb)I. A. Rahman, M. Loubani, A. Ranasinghe, R. Panchal, V. Barnett, T. Graham, I. C. Wilson, S. Rooney, D. Pagano, J. G. Mascaro, R. S. Bonser Cardiothoracic Surgery, University Hospital Birmingham NHS FT, Edgbaston, Birmingham, United Kingdom |
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Read the Privacy Policy.
IMPORTANT REMINDER: The preceding information is intended only to provide
general guidance and not as a definitive basis for diagnosis or treatment in any particular case.
It is very important that you consult a doctor about any specific medical problem or question.