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Andersons pediatric cardiology 2363

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Lymphatics, abnormal, Fontan failure with, 1345 Lymphoproliferative disorders, following cardiac transplantation, 1225t, 1237– 1238, 1237f, 1237t M Magnetic resonance angiography, 320t–321t contrast-enhanced, 323, 324f Magnetic resonance imaging (MRI), 318 of anomalies of the aortic arch, 891 of anomalous aortic origin of a coronary artery, 874 cardiac, in arrhythmias, 358 in cardiac tumors, 968, 969f in fetal heart, 88–90 Kawasaki syndrome and, 986–987, 987f normal late-gestation human fetal circulation by, 116–117, 117t, 118f with pacemakers, 373 for pulmonary hypertension, 1387–1388 techniques for assessing fetal circulatory physiology, 112 cine phase contrast, 112, 113f–114f magnetic resonance oximetry as, 112–114, 114f–117f Malabsorption, growth and, 1496 Malformations, associated, 15–16 Malnutrition, 1495–1503, 1496t–1497t Mannosidosis, cardiac involvement in, 1092 Mapping, 359–360, 361f activation, of tachycardia, 360 electroanatomic, of tachycardia, 360, 362f Marfan syndrome cardiac involvement in, 1077–1078, 1078b, 1099–1101, 1099f, 1100t, 1100b in pregnancy, 1447 systemic arterial dysfunction and, 1373 Maroteaux-Lamy syndrome, cardiac involvement in, 1091 Masked hypertension, 1122 MAT, Multifocal atrial tachycardia Maternal rights, ethical issues and, 1468 Matrix-array transducers, for echocardiography, 309 Matrix metalloproteinase, 1356 Maximal plasma drug concentration, 1429 Maximal voluntary ventilation, 385 McArdle disease, cardiac involvement in, 1089 McNemar chi-square test, 414 MCS, Mechanical circulatory support Mean pressure gradient, echocardiographic measurements of, 306, 306f Mechanical circulatory support (MCS), 1474 chronic, 1205–1216 long-term, current devices for, 1208–1210 Berlin Heart EXCOR in, 1208, 1208f continuous flow ventricular assist devices in, 1209 future devices and, 1210 HeartMate II in, 1209 HVAD in, 1209–1210 total artificial heart in, 1208–1209 management of, in Fontan pathway, 1293–1294 short-term, current devices for, 1206–1208 Mechanical support as bridge to transplantation, 1224f, 1227, 1227f–1228f choice and mode of, 1186, 1186t complete, 1186–1187 partial, 1187–1188 weaning from, 1190–1191 Mechanical valves, 221–222, 221f Mechanical ventilation, management of, in Fontan pathway, 1290 Media, 1355 Medical costs, in congenital heart disease, 185–187 of direct medical care, 185, 186f, 187t higher, factors associated with, among people living with, 185–187 reduction of, opportunities for, 187 variation in, 187 Medical decision-making, concepts related to, 1469t Medical home, primary, 1483 Medical problems, confusion about whom to discuss with, parental concerns, 1490, 1490f Medical readiness, for interstage management, 1308–1309 Medical therapy, for cancer therapy-related cardiotoxicity, 1172 Medtronic Melody TPV, 259 MELAS, arterial dysfunction and, 1375 Menorrhagia, in Kawasaki syndrome, 994–995 Mental health in complex congenital cardiac disease, 1406 maternal, 1456 Meropenem, for blood culture-negative endocarditis, 1054t Mesoderm, 33, 34f Meta-analyses, 418–419 Metabolic syndrome, risk factor clustering and, 433–434 Metabolism, 1429 in cardiopulmonary bypass, 232 cellular, 379–381, 381f Metallic valvutome, 1035, 1036t Methylmalonic acidemia, cardiac involvement in, 1097 Metrics, for interstage management, 1307–1308 Metropolitan Atlanta Congenital Defects Program, 180

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