Right Ventricular Exclusion and Univentricular Palliation for Failed One and a Half Ventricle Repair for Ebstein's Anomaly
A 20 year-old male was diagnosed to have Ebstein's anomaly with severe right ventricular dysfunction. He was taken up for 1.5 ventricle repair. Post procedure, there was difficulty in weaning from cardiopulmonary bypass due to progressive right ventricular dilatation compromising the systemic o...
Saved in:
| Published in | Heart, lung & circulation Vol. 22; no. 8; pp. 685 - 687 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Australia
Elsevier B.V
01.08.2013
|
| Subjects | |
| Online Access | Get full text |
Cover
Loading…
| Abstract | A 20 year-old male was diagnosed to have Ebstein's anomaly with severe right ventricular dysfunction. He was taken up for 1.5 ventricle repair. Post procedure, there was difficulty in weaning from cardiopulmonary bypass due to progressive right ventricular dilatation compromising the systemic output. An atrial septectomy did not help. Progressive right ventricular dilatation compressing the left ventricle, demonstrated on transoesophageal echocardiogram, prompted us to perform a right ventricular exclusion and univentricular palliation. The patient was successfully weaned off cardiopulmonary bypass and had a smooth postoperative recovery. Judicious use of right ventricular exclusion and univentricular palliation could be an effective bailout strategy in difficult surgical scenarios in Ebstein's anomaly. |
|---|---|
| AbstractList | A 20 year-old male was diagnosed to have Ebstein's anomaly with severe right ventricular dysfunction. He was taken up for 1.5 ventricle repair. Post procedure, there was difficulty in weaning from cardiopulmonary bypass due to progressive right ventricular dilatation compromising the systemic output. An atrial septectomy did not help. Progressive right ventricular dilatation compressing the left ventricle, demonstrated on transoesophageal echocardiogram, prompted us to perform a right ventricular exclusion and univentricular palliation. The patient was successfully weaned off cardiopulmonary bypass and had a smooth postoperative recovery. Judicious use of right ventricular exclusion and univentricular palliation could be an effective bailout strategy in difficult surgical scenarios in Ebstein's anomaly. A 20 year-old male was diagnosed to have Ebstein's anomaly with severe right ventricular dysfunction. He was taken up for 1.5 ventricle repair. Post procedure, there was difficulty in weaning from cardiopulmonary bypass due to progressive right ventricular dilatation compromising the systemic output. An atrial septectomy did not help. Progressive right ventricular dilatation compressing the left ventricle, demonstrated on transoesophageal echocardiogram, prompted us to perform a right ventricular exclusion and univentricular palliation. The patient was successfully weaned off cardiopulmonary bypass and had a smooth postoperative recovery. Judicious use of right ventricular exclusion and univentricular palliation could be an effective bailout strategy in difficult surgical scenarios in Ebstein's anomaly.A 20 year-old male was diagnosed to have Ebstein's anomaly with severe right ventricular dysfunction. He was taken up for 1.5 ventricle repair. Post procedure, there was difficulty in weaning from cardiopulmonary bypass due to progressive right ventricular dilatation compromising the systemic output. An atrial septectomy did not help. Progressive right ventricular dilatation compressing the left ventricle, demonstrated on transoesophageal echocardiogram, prompted us to perform a right ventricular exclusion and univentricular palliation. The patient was successfully weaned off cardiopulmonary bypass and had a smooth postoperative recovery. Judicious use of right ventricular exclusion and univentricular palliation could be an effective bailout strategy in difficult surgical scenarios in Ebstein's anomaly. |
| Author | Cherian, Kottoorathu Mammen Krishna Manohar, Soman R. Suresh Kumar, Raghavannair Sasikumar, Navaneetha Philip, Saji |
| Author_xml | – sequence: 1 givenname: Navaneetha surname: Sasikumar fullname: Sasikumar, Navaneetha organization: Departments of Paediatric Cardiology and Paediatric Cardiac Surgery, Dr. K.M. Cherian Heart Foundation, Thiruvalla, Kerala, India – sequence: 2 givenname: Soman R. surname: Krishna Manohar fullname: Krishna Manohar, Soman R. organization: Departments of Paediatric Cardiology and Paediatric Cardiac Surgery, Dr. K.M. Cherian Heart Foundation, Thiruvalla, Kerala, India – sequence: 3 givenname: Saji surname: Philip fullname: Philip, Saji organization: Department of Pediatric Cardiology, Frontier Lifeline Hospital, Chennai, Tamil Nadu, India – sequence: 4 givenname: Kottoorathu Mammen surname: Cherian fullname: Cherian, Kottoorathu Mammen organization: Departments of Paediatric Cardiology and Paediatric Cardiac Surgery, Dr. K.M. Cherian Heart Foundation, Thiruvalla, Kerala, India – sequence: 5 givenname: Raghavannair surname: Suresh Kumar fullname: Suresh Kumar, Raghavannair email: r.sureshkumar.mmm@gmail.com organization: Departments of Paediatric Cardiology and Paediatric Cardiac Surgery, Dr. K.M. Cherian Heart Foundation, Thiruvalla, Kerala, India |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23266190$$D View this record in MEDLINE/PubMed |
| BookMark | eNqFkl9rFDEUxYNU7B_9AL7IvOnLTJNMZqZBEErZ2kKhpVpfw93kjs2aTdZkprh-ejO7rUih9SkX8jsn5Jy7T3Z88EjIW0YrRll7uKhuna44ZbxirKJMviB7TAhR8iPJdzZzXcqGtrtkP6UFpawTtXxFdnnN25ZJukd-X9vvt0PxDf0QrR4dxGL2S7sx2eAL8Ka48fbun8srcM7CMN32IRanYB2a4tLjBobiDFz_4OawuMYV2LhBZ_M0oPXvU3HswxLc-jV52YNL-Ob-PCA3p7OvJ2flxeXn85Pji1I3XAwlGNlx3hqQ0JrGNLLRvQYtOp3_AAI1GN7wWkpumjnnXDSGG9pR2tdHvDfz-oB82PquYvg5YhrU0iaNzoHHMCbFRE6wbQVtMvruHh3nSzRqFe0S4lo95JUBtgV0DClF7P8ijKqpE7VQuRM1daIYU7mTrOkeabQdNhEOMcf3rPLjVok5njuLUSVt0Ws0NqIelAn2WfWnR2rtrLca3A9cY1qEMfqcu2IqcUXVl2lbpmVh2SQPk4F82uA_j_8B_PrOWw |
| CitedBy_id | crossref_primary_10_4326_jjcvs_45_26 |
| Cites_doi | 10.1067/mtc.2002.121160 10.1016/S0022-5223(19)38004-3 10.1016/j.athoracsur.2009.07.019 10.1016/S0022-5223(19)36627-9 10.1016/j.athoracsur.2007.02.067 10.1016/S0003-4975(98)00897-2 10.1016/S1010-7940(98)00057-8 |
| ContentType | Journal Article |
| Copyright | 2012 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ) Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ) Copyright © 2012 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved. |
| Copyright_xml | – notice: 2012 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ) – notice: Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ) – notice: Copyright © 2012 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved. |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1016/j.hlc.2012.11.019 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 1444-2892 |
| EndPage | 687 |
| ExternalDocumentID | 23266190 10_1016_j_hlc_2012_11_019 S1443950612013959 1_s2_0_S1443950612013959 |
| Genre | Journal Article Case Reports |
| GroupedDBID | --- --K --M .1- .FO .~1 0R~ 1B1 1OC 1P~ 1RT 1~. 1~5 4.4 457 4G. 53G 5GY 5VS 7-5 71M 8-1 8P~ AABNK AAEDT AAEDW AAIKJ AAKOC AALRI AAOAW AAQFI AAQXK AATTM AAWTL AAXKI AAXUO AAYWO ABBQC ABDBF ABFNM ABJNI ABMAC ABMZM ABWVN ABXDB ACDAQ ACGFS ACIEU ACRLP ACRPL ACUHS ACVFH ACXQS ADBBV ADCNI ADEZE ADMUD ADNMO ADVLN AEBSH AEIPS AEKER AENEX AEUPX AEVXI AFJKZ AFPUW AFRHN AFTJW AFXIZ AFZJQ AGCQF AGHFR AGQPQ AGUBO AGYEJ AIEXJ AIGII AIIUN AIKHN AITUG AJAOE AJRQY AJUYK AKBMS AKRWK AKYEP ALMA_UNASSIGNED_HOLDINGS AMRAJ ANKPU ANZVX APXCP ASPBG AVWKF AXJTR AZFZN B0M BFHJK BKOJK BLXMC BNPGV CAG CO8 COF CS3 DU5 EAD EAP EBS EFJIC EFKBS EJD EMK EO8 EO9 EP2 EP3 ESX EX3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN G-Q GBLVA HVGLF HX~ HZ~ IHE J1W KOM KTM M41 MO0 N9A O-L O9- OAUVE OA~ OL0 OVD OZT P-8 P-9 PC. Q38 R2- ROL RPZ SDF SDG SEL SES SEW SPCBC SSH SSZ T5K TEORI WOQ WOW YFH Z5R ~8M ~G- AACTN AFCTW AFKWA AJOXV AMFUW RIG AAIAV ABLVK ABYKQ AJBFU EFLBG LCYCR AAYXX AGRNS CITATION CGR CUY CVF ECM EIF NPM 7X8 |
| ID | FETCH-LOGICAL-c524t-ad97226da9a6d5d595cfcac47c266a4ecad2523992d5b22245d2d0700f382fdb3 |
| IEDL.DBID | .~1 |
| ISSN | 1443-9506 1444-2892 |
| IngestDate | Fri Jul 11 04:06:43 EDT 2025 Thu Apr 03 07:00:10 EDT 2025 Tue Jul 01 04:17:45 EDT 2025 Thu Apr 24 23:04:02 EDT 2025 Fri Feb 23 02:25:42 EST 2024 Sun Feb 23 10:19:31 EST 2025 Tue Aug 26 18:36:03 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 8 |
| Keywords | Right ventricular exclusion Ebstein's anomaly One and a half ventricle repair Right ventricular dysfunction Fontan surgery |
| Language | English |
| License | Copyright © 2012 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c524t-ad97226da9a6d5d595cfcac47c266a4ecad2523992d5b22245d2d0700f382fdb3 |
| Notes | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
| PMID | 23266190 |
| PQID | 1420166405 |
| PQPubID | 23479 |
| PageCount | 3 |
| ParticipantIDs | proquest_miscellaneous_1420166405 pubmed_primary_23266190 crossref_primary_10_1016_j_hlc_2012_11_019 crossref_citationtrail_10_1016_j_hlc_2012_11_019 elsevier_sciencedirect_doi_10_1016_j_hlc_2012_11_019 elsevier_clinicalkeyesjournals_1_s2_0_S1443950612013959 elsevier_clinicalkey_doi_10_1016_j_hlc_2012_11_019 |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2013-08-01 |
| PublicationDateYYYYMMDD | 2013-08-01 |
| PublicationDate_xml | – month: 08 year: 2013 text: 2013-08-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | Australia |
| PublicationPlace_xml | – name: Australia |
| PublicationTitle | Heart, lung & circulation |
| PublicationTitleAlternate | Heart Lung Circ |
| PublicationYear | 2013 |
| Publisher | Elsevier B.V |
| Publisher_xml | – name: Elsevier B.V |
| References | Starnes, Pitlick, Bernstein, Griffin, Choy, Shumway (bib0035) 1991; 101 Chauvaud, Fuzellier, Berrebi, Lajos, Marino, Mihaileanu (bib0010) 1998; 13 Uemura, Yagihara, Adachi, Kagisaki, Shikata (bib0020) 2007; 84 Malhotra, Petrossian Ed, Reddy, Qiu, Maeda, Suleman (bib0005) 2009; 88 Marianeschi, McElhinney, Reddy, Silverman, Hanley (bib0015) 1998; 66 Marcelletti, Düren, Schuilenburg, Becker (bib0030) 1980; 79 Sano, Ishino, Kawada, Kasahara, Kohmoto, Takeuchi (bib0025) 2002; 123 Malhotra (10.1016/j.hlc.2012.11.019_bib0005) 2009; 88 Uemura (10.1016/j.hlc.2012.11.019_bib0020) 2007; 84 Marianeschi (10.1016/j.hlc.2012.11.019_bib0015) 1998; 66 Marcelletti (10.1016/j.hlc.2012.11.019_bib0030) 1980; 79 Starnes (10.1016/j.hlc.2012.11.019_bib0035) 1991; 101 Chauvaud (10.1016/j.hlc.2012.11.019_bib0010) 1998; 13 Sano (10.1016/j.hlc.2012.11.019_bib0025) 2002; 123 |
| References_xml | – volume: 123 start-page: 640 year: 2002 end-page: 647 ident: bib0025 article-title: Total right ventricular exclusion procedure: an operation for isolated congestive right ventricular failure publication-title: J Thorac Cardiovasc Surg – volume: 66 start-page: 1546 year: 1998 end-page: 1550 ident: bib0015 article-title: Alternative approach to the repair of Ebstein's malformation: intracardiac repair with ventricular unloading publication-title: Ann Thorac Surg – volume: 13 start-page: 514 year: 1998 end-page: 519 ident: bib0010 article-title: Bi-directional cavopulmonary shunt associated with ventriculo and valvuloplasty in Ebstein's anomaly: benefits in high risk patients publication-title: Eur J Cardiothorac Surg – volume: 84 start-page: 666 year: 2007 end-page: 668 ident: bib0020 article-title: Conversion to total cavopulmonary connection after failed one and one-half ventricular repair publication-title: Ann Thorac Surg – volume: 101 start-page: 1082 year: 1991 end-page: 1087 ident: bib0035 article-title: Ebstein's anomaly appearing in the neonate: a new surgical approach publication-title: J Thorac Cardiovasc Surg – volume: 79 start-page: 63 year: 1980 end-page: 66 ident: bib0030 article-title: Fontan's operation for Ebstein's anomaly publication-title: J Thorac Cardiovasc Surg – volume: 88 start-page: 1975 year: 2009 end-page: 1981 ident: bib0005 article-title: Selective right ventricular unloading and novel technical concepts in Ebstein's anomaly publication-title: Ann Thorac Surg – volume: 123 start-page: 640 year: 2002 ident: 10.1016/j.hlc.2012.11.019_bib0025 article-title: Total right ventricular exclusion procedure: an operation for isolated congestive right ventricular failure publication-title: J Thorac Cardiovasc Surg doi: 10.1067/mtc.2002.121160 – volume: 79 start-page: 63 year: 1980 ident: 10.1016/j.hlc.2012.11.019_bib0030 article-title: Fontan's operation for Ebstein's anomaly publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)38004-3 – volume: 88 start-page: 1975 year: 2009 ident: 10.1016/j.hlc.2012.11.019_bib0005 article-title: Selective right ventricular unloading and novel technical concepts in Ebstein's anomaly publication-title: Ann Thorac Surg doi: 10.1016/j.athoracsur.2009.07.019 – volume: 101 start-page: 1082 year: 1991 ident: 10.1016/j.hlc.2012.11.019_bib0035 article-title: Ebstein's anomaly appearing in the neonate: a new surgical approach publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)36627-9 – volume: 84 start-page: 666 year: 2007 ident: 10.1016/j.hlc.2012.11.019_bib0020 article-title: Conversion to total cavopulmonary connection after failed one and one-half ventricular repair publication-title: Ann Thorac Surg doi: 10.1016/j.athoracsur.2007.02.067 – volume: 66 start-page: 1546 year: 1998 ident: 10.1016/j.hlc.2012.11.019_bib0015 article-title: Alternative approach to the repair of Ebstein's malformation: intracardiac repair with ventricular unloading publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(98)00897-2 – volume: 13 start-page: 514 year: 1998 ident: 10.1016/j.hlc.2012.11.019_bib0010 article-title: Bi-directional cavopulmonary shunt associated with ventriculo and valvuloplasty in Ebstein's anomaly: benefits in high risk patients publication-title: Eur J Cardiothorac Surg doi: 10.1016/S1010-7940(98)00057-8 |
| SSID | ssj0017439 |
| Score | 1.9251678 |
| Snippet | A 20 year-old male was diagnosed to have Ebstein's anomaly with severe right ventricular dysfunction. He was taken up for 1.5 ventricle repair. Post procedure,... |
| SourceID | proquest pubmed crossref elsevier |
| SourceType | Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 685 |
| SubjectTerms | Adult Cardiopulmonary Bypass Cardiovascular Ebstein Anomaly - complications Ebstein Anomaly - pathology Ebstein Anomaly - physiopathology Ebstein Anomaly - surgery Ebstein's anomaly Fontan surgery Heart Ventricles - pathology Heart Ventricles - physiopathology Heart Ventricles - surgery Humans Male One and a half ventricle repair Right ventricular dysfunction Right ventricular exclusion Ventricular Dysfunction, Right - complications Ventricular Dysfunction, Right - pathology Ventricular Dysfunction, Right - physiopathology Ventricular Dysfunction, Right - surgery |
| Title | Right Ventricular Exclusion and Univentricular Palliation for Failed One and a Half Ventricle Repair for Ebstein's Anomaly |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S1443950612013959 https://www.clinicalkey.es/playcontent/1-s2.0-S1443950612013959 https://dx.doi.org/10.1016/j.hlc.2012.11.019 https://www.ncbi.nlm.nih.gov/pubmed/23266190 https://www.proquest.com/docview/1420166405 |
| Volume | 22 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3db9MwELem7YUXBGJAgU2ehISElNV1bKd5rKZWHYiBgKG9WeePiKKQTksrMR7427lzkyLEGBKvyV2cXM53v7Pvzow9R4_jxFjJTPnCZCqCyJyodCZzMJU3RkBKHn9zZubn6tWFvthhJ30tDKVVdrZ_Y9OTte6uDDtpDi8Xi-EHDAXyUpOLJhijqYhPqYK0_PjHNs0jAe5UYUS7zEjd72ymHK_PNXUxHMljauRJzXZu9k1_w57JB83usbsdeOSTzfvdZzuxecC-v6f4mn-iZdpFyirl02--XtMyGIcm8JR78evmO6AVFvofHAErnwHahcDfNjERA59DXfVPqyNHhA6Lq0Q6dS2djfmi5ZNm-RXq6312Ppt-PJln3YkKmddSrTIIZYF4K0AJJuigS-0rD14VHv00qOghSE3VrjJoh8hB6SADGgVR5WNZBZc_ZLvNsomPGXehCIXTGEAroXwuSoCxQSzlVChGbiQHTPSytL5rN06nXtS2zyv7YlH8lsSPYYhF8Q_Yyy3L5abXxm3Esv9Bti8iRbNn0RPcxlTcxBTbbuK2dmRbaYX9Q7kGTG05f9PPfw141OuOxXlLmzHQxOUaB1JIZgzi5QF7tFGq7UcjykXYVIon_zfoU3ZHpkM7KE3xGdtdXa3jAUKnlTtMc-OQ7U1OX8_PfgJIGhYz |
| linkProvider | Elsevier |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3db9MwELfG9gAvCDQ-CgyMhISElNV1bWd5nKZWZd-CDe3NOn9EFIV0WloJeOBv352bFCHGkHhNznFyuY_f2ec7xt6gx3FiR8lM-dxkKoLInCh1JodgSm-MgJQ8fnRsJudq_0JfrLG97iwMpVW2tn9p05O1bq_0W272L6fT_kcMBYaFJhdNMEYXd9iGQvWlNgbbP1d5HglxpyNGtM2M5N3WZkry-lxRGcOB3KZKnlRt52bn9DfwmZzQ-AG736JHvrt8wYdsLdab7McHCrD5J1qnnaa0Uj765qsFrYNxqANPyRe_bp4CLbHQD-GIWPkY0DAEflLHRAx8AlXZPa2KHCE6TK8S6cg11BzzbcN369lXqL4_Yufj0dneJGtbKmReSzXPIBQ5Aq4ABZiggy60Lz14lXt01KCihyA1HXeVQTuEDkoHGdAqiBIZWwY3fMzW61kdnzLuQh5ypzGCVkL5oSgAdgyCKadCPnAD2WOi46X1bb1xantR2S6x7ItF9ltiP8YhFtnfY-9WQy6XxTZuI5bdD7LdKVK0exZdwW2D8psGxabV3MYObCOtsH9IV4-p1cjfBPRfE77uZMei4tJuDNRxtsCJFJIZg4C5x54shWr10QhzETcV4tn_TfqK3Z2cHR3aw_fHB8_ZPZk6eFDO4gu2Pr9axC3EUXP3MunJNXkVF8E |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Right+Ventricular+Exclusion+and+Univentricular+Palliation+for+Failed+One+and+a+Half+Ventricle+Repair+for+Ebstein%27s+Anomaly&rft.jtitle=Heart%2C+lung+%26+circulation&rft.au=Sasikumar%2C+Navaneetha&rft.au=Krishna+Manohar%2C+Soman+R&rft.au=Philip%2C+Saji&rft.au=Cherian%2C+Kottoorathu+Mammen&rft.date=2013-08-01&rft.issn=1443-9506&rft.volume=22&rft.issue=8&rft.spage=685&rft.epage=687&rft_id=info:doi/10.1016%2Fj.hlc.2012.11.019&rft.externalDBID=ECK1-s2.0-S1443950612013959&rft.externalDocID=1_s2_0_S1443950612013959 |
| thumbnail_m | http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=https%3A%2F%2Fcdn.clinicalkey.com%2Fck-thumbnails%2F14439506%2FS1443950613X00095%2Fcov150h.gif |