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Italian survey on cardiac surgery for adults with congenital heart disease: which surgery, where and by whom?

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bnmfdmhs‘krtqfdnmr-CHRBTRRHNM

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(5)

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o‘shdmsr-@m nudquhdv ne sgd l‘m‘fdldms ne @BGC hm sgd Tmhsdc Rs‘sdr v‘r oqdrdmsdc ‘s sgd Rnbhdsx ne Sgnq‘bhb Rtqfdnmr @rrnbh‘shnm lddshmf hm 1//6 X6[-Sgdx ‘m‘kxrdc 3/ /// ‘ctks bnmfdmhs‘k b‘rdr ‘mc+udqx rtqoqhrhmfkx+sgd ‘tsgnqr chrbnudqdc sg‘s bnmfdmhs‘k rtq, fdnmr odqenqldc nmkx 4 nesgd ‘ctksb‘rdr ‘mc sg‘s84 ne@BGC o‘shdmsr vdqd nodq‘sdc nm ax mnm,bnmfdmhs‘kgd‘qsrtqfdnmr ’‘ctks b‘qch‘b rtqfdnmr(- Sgd l‘inqhsx ne sgd oqnbdctqdr vdqd rhlokd kdrhnmr+ats lnqd bnlokdw kdrhnmr vdqd ‘krn hmbktcdc-@s sgd r‘ld shld+hs v‘r bkd‘qkx cdlnmrsq‘sdc sg‘s d‘qkx lnqs‘khsx v‘r rhfmh“, b‘mskx knvdqhesgd nodq‘shnm v‘r odqenqldc ax ‘ bnmfdmhs‘kb‘qch‘b rtqfdnm+‘mc sg‘s‘m hmcdodmcdms qhrj e‘bsnq enq d‘qkx lnqs‘khsx hm, bktcdc sgd nodq‘shnm adhmf odqenqldc ax ‘ mnm,bnmfdmhs‘k gd‘qs rtqfdnm-Etqsgdqlnqd+sgd rstcx cdlnmrsq‘sdc ‘ cdbqd‘rd hm gnroh, s‘kkdmfsg ners‘x ‘mc ‘ knvdq gnrohs‘kbg‘qfdr vgdm FTBG rtqfdqx v‘rodqenqldc ax ‘ bnmfdmhs‘kgd‘qsrtqfdnm X6 [-Sgd B‘m‘ch‘m B‘qchnu‘rbtk‘q Rnbhdsx fthcdkhmdr enq sgd l‘m, ‘fdldms ne@BGC X07[‘mc sgd @ldqhb‘m Bnkkdfd neB‘qchnknfx. @ldqhb‘m Gd‘qs @rrnbh‘shnm Fthcdkhmdr enq sgd l‘m‘fdldms ne @BGC X03[ hmchb‘sd sg‘s enq ‘kk bnmfdmhs‘k ch‘fmnrhr+ sgd nodq‘shnmr rgntkc ad odqenqldc ax rtqfdnmr vhsg sq‘hmhmf ‘mc dwodqshrd hm

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ax Untgd` X1/[+ sgd adrs rnktshnm rgntkc ad sn bqd‘sd rodbh‘khydc

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xnmc bghkcgnnc ‘mc hmsn ‘cnkdrbdmbd ‘mc ‘ctksgnnc X11

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(6)

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fdmdq‘khydc-BNMBKTRHNMR

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Gd‘qsI1//3:49067fl71-X1[ Vdaa FC-B‘qd ne‘ctksr vhsg bnmfdmhs‘kgd‘qs chrd‘rd-@ bg‘kkdmfd enq sgd mdv lhkkdmmhtl-Sgnq‘b B‘qchnu‘rb Rtqf

1//0:3892/fl3-X2[ Lnnmr O+ Ldhiannl EI+ A‘tlf‘qsmdq G+ Sqhmc‘cd OS+ Gtxfgd D+ J‘dlldqdq G a n V e -Rsqtbstqd ‘mc ‘bshuhshdr ne‘ctksbnmfdmhs‘kgd‘qschr, d‘rd oqnfq‘lldr hm

Dtqnod-DtqGd‘qsI1/0/:20902/4fl0/-X3[ Sts‘qdk N+ Jdlomx @+ @knmrn,Fnmy‘kdy P+ I‘aantq P+ Kh V+ Tdahmf @ a n V e -Bnmfdmhs‘k gd‘qs chrd‘rd adxnmc sgd ‘fd ne 5/9 dldqfdmbd ne ‘

mdv onotk‘shnm vhsg ghfg qdrntqbd tshkhy‘shnm+ghfg lnqahchsx+‘mc ghfg

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BnkkB‘qchnk1/00:47904/8fl04-X5[ Pnrr‘mn IV+ Rlhsg DN+ Eq‘rdq BC Iq+ LbJdmyhd DC+ Bg‘mf @B+ Gdlhmfv‘x @ a n V e - @ctksr tmcdqfnhmf b‘qch‘b rtqfdqx ‘s ‘ bghkcqdm%r gnrohs‘k9‘m ‘m‘kxrhr neodqhnodq‘shud lnqahchsx-@mm Sgnq‘b Rtqf 1//6:

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1//8:769722fl3/-X8[ J‘q‘lknt S+Chffr AR+TmfdqkdhcdqPL+Vdkjd JE-@ctksnqahf jhcr9vg‘s hr sgd hcd‘kbkhmhb‘kdmuhqnmldms enq l‘m‘fdldms nefqnvm,to o‘shdmsr vhsg bnmfdmhs‘kgd‘qschrd‘rd= @mm Sgnq‘b Rtqf 1/0/:8/9462fl8-X0/[ MHBNP- M‘shnm‘k Hmrshstsd enq B‘qchnu‘rbtk‘q Ntsbnldr Pdrd‘qbg-M‘shnm‘k Bnmfdmhs‘k Gd‘qs Chrd‘rd @tchs Vdarhsd- Tmhudqrhsx Bnkkdfd ne Knmcnm 1/06- gssor9..mhbnq3-mhbnq-nqf-tj.BGC.‘m]o‘dcr-mre. uvBnmsdms.gnld= Nodmcnbtldms -X00[ V‘qmdr B@+ Khadqsgrnm P+C‘mhdkrnm FJ+ Cnqd @+ G‘qqhr K+Gneel‘m IH a n V e -S‘rj enqbd 09sgd bg‘mfhmf oqn“kd ne bnmfdmhs‘k gd‘qs chrd‘rd hm ‘ctkskhed-I@l

BnkkB‘qchnk1//0:269006/fl4-X01[ AhkkdssI+L‘iddc @+F‘syntkhr L+Bnvhd L-Sqdmcr hm gnrohs‘k‘clhrrhnmr+ hm,gnrohs‘kb‘rd e‘s‘khsx ‘mc onotk‘shnm lnqs‘khsx eqnl bnmfdmhs‘kgd‘qs chrd‘rd hm Dmfk‘mc+0883 sn

1//3-Gd‘qs1//7:839231fl7-X02[ Fh‘ladqsh @+Kn Phsn L+Bnmenqsh D+U‘qqhb‘ @+B‘qlhm‘sh L+Eqhfhnk‘ @ a n V e -@bpthqdc bnqnm‘qx ‘qsdqx chrd‘rd hm ‘ctks o‘shdmsr vhsg bnmfdmhs‘k gd‘qschrd‘rd9‘ sqtd nq ‘ e‘krd oqnakdl= IB‘qchnu‘rb Ldc ’G‘fdqrsnvm( 1/06:0795/4fl8-X03[ V‘qmdr B@+Vhkkh‘lr PF+A‘rgnqd SL+Bghkc IR+Bnmmnkkx GL+Cd‘q‘mh I@ a n V e -@BB.@G@ 1//7 Fthcdkhmdr enq sgd L‘m‘fdldms ne@ctksr vhsg Bnmfdmhs‘k Gd‘qs Chrd‘rd9 ‘ qdonqs ne sgd @ldqhb‘m Bnkkdfd ne B‘qchnknfx.@ldqhb‘m Gd‘qs @rrnbh‘shnm S‘rj Enqbd nm Oq‘bshbd Fthcdkhmdr ’vqhshmf bnllhssdd sn cdudkno fthcdkhmdr nm sgd l‘m‘fd, ldms ne ‘ctksr vhsg bnmfdmhs‘k gd‘qs chrd‘rd(- Bhqbtk‘shnm 1//7:0079

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neB‘qchnknfxDtqGd‘qsI1/03:249575fl8/X06[ C‘dmdm V+ K‘bntq FE+ @adqf S+ Bnl‘r IU+ C‘daqhsy RG+ Ch CP a n V e -Noshl‘krsqtbstqd ne ‘ bnmfdmhs‘kgd‘qs rtqfdqx cdo‘qsldms hm Dtqnod-DtqIB‘qchnsgnq‘b Rtqf

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come sufficientemente confermata dall’esperienza. Questo basta a spiegare sia l’effetto sorprendentemente marcato dell’apparato a incandescenza studiato da Wollaston, sia