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The presence of thrombocytopenia in cyanotic congenital heart disease (CCHD) is an uncommon, but well-known condition. We present a patient with pulmonary atresia with ventricular septal defect (PA with VSD) requiring a multi-stage operation. We were unsure whether the patient's hypoxia was the cause of his thrombocytopenia, as the hypoxia was relatively mild. His thrombocytopenia improved following reoxygenation after the Rastelli operation (total correction of PA with VSD). From these findings, we suggest that if a patient with CCHD p

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Maintaining a beautiful and thriving garden can be a rewarding experience, but it often comes with its challenges, particularly when it comes to dealing with pests such as beetles. These pesky insects can wreak havoc on your plants, leaving leaves chewed and flowers wilting. For residents in Lakewood, Colorado, understanding the best strategies for beetle prevention is crucial to ensuring that your garden remains healthy and vibrant throughout the growing season. In this article, we will explore proven strategies to kee