Skip to main content

Gregory Allan Fleming

Professor of Pediatrics
Pediatrics, Cardiology
DUMC Box 3090, 7506 Hospital North, Durham, NC 27710

Selected Publications


Usefulness of PREDIC3T Case Type Risk Category in the CRISP Registry.

Journal Article Am J Cardiol · February 1, 2024 Procedural risk in Congenital Cardiac Catheterization (PREDIC3T) was recently reported as the contemporary procedure-type risk metric by the Congenital Cardiac Catheterization Project on Outcomes (C3PO) registry. The usefulness of this metric has not been ... Full text Link to item Cite

The Effect of Udenafil on Heart Rate and Blood Pressure in Adolescents With the Fontan Circulation.

Journal Article Am J Cardiol · January 1, 2024 The Fontan Udenafil Exercise Longitudinal (FUEL) trial showed that treatment with udenafil was associated with improved exercise performance at the ventilatory anaerobic threshold in children with Fontan physiology. However, it is not known how the initiat ... Full text Link to item Cite

Hybrid approach to pulmonary vein stenting after Fontan palliation.

Journal Article Catheter Cardiovasc Interv · November 2023 Pulmonary vein stenosis is poorly tolerated in patients who have undergone Fontan palliation and typically requires surgical or transcatheter intervention. Percutaneous transcatheter approaches to intervention can be technically difficult due to challengin ... Full text Link to item Cite

Impact of Ventricular Dominance on Long-Term Fontan Outcomes: A 25-year Single-institution Study.

Journal Article Ann Thorac Surg · September 2023 BACKGROUND: The long-term impact of ventricular dominance on Fontan outcomes is controversial. This study examined this issue in a 25-year cohort. METHODS: Patients undergoing the Fontan operation at a single institution (Duke University Medical Center, Du ... Full text Link to item Cite

Update on Transcatheter Device Closure of Congenital Septal Defects.

Journal Article Curr Cardiol Rep · September 2023 PURPOSE OF REVIEW: The goal of this paper is to review currently available devices for closure of atrial septal defects (ASDs) and ventricular septal defects (VSDs). RECENT FINDINGS: Favorable results from the ASSURED trial resulted in FDA approval for the ... Full text Link to item Cite

Congenital Pulmonic Valve Dysfunction Treated With SAPIEN 3 Transcatheter Heart Valve (from the COMPASSION S3 Trial).

Journal Article Am J Cardiol · March 1, 2023 Significant pulmonary regurgitation (PR) and pulmonary stenosis are common after surgical repair of some congenital heart defects. This prospective, single-arm, multicenter trial enrolled patients who underwent transcatheter heart valve (THV) implantation ... Full text Link to item Cite

Whole-Chest Three-Dimensional Modeling Aids Hybrid Pulmonary Valve Replacement Following Double Switch Operation.

Journal Article World J Pediatr Congenit Heart Surg · January 2023 The double switch operation for congenitally corrected transposition of the great arteries (CC-TGA) has been associated with high rates of reintervention, including the need for pulmonary valve replacement. Hybrid interventional approaches can avoid bypass ... Full text Link to item Cite

Transition to Ductal Stenting for Single Ventricle Patients Led to Improved Survival: An Institutional Case Series.

Journal Article World J Pediatr Congenit Heart Surg · July 2021 BACKGROUND: The use of systemic-to-pulmonary shunts (SPS) in neonates with single ventricle heart defects and ductal-dependent pulmonary blood flow (ddPBF) was historically associated with high morbidity and mortality at our center. As a result, we transit ... Full text Link to item Cite

Mustard Baffle Revision With Systemic Ventricular Assist Device Placement.

Journal Article Ann Thorac Surg · October 2020 Systemic right ventricle failure often develops in patients with dextro-transposition of the great arteries who have undergone atrial-level switch procedures. An adult with dextro-transposition of the great arteries with Mustard repair in childhood present ... Full text Link to item Cite

Palliating Premature Infants With Obstructed Total Anomalous Pulmonary Venous Connection via Catheterization.

Journal Article World J Pediatr Congenit Heart Surg · July 2020 Obstructed total anomalous pulmonary venous connection (TAPVC) involves anomalous drainage of all pulmonary veins to a location other than the left atrium and typically causes significant respiratory symptoms requiring urgent surgical repair. Premature inf ... Full text Link to item Cite

Preprocedural three-dimensional planning aids in transcatheter ductal stent placement: A single-center experience.

Journal Article Catheter Cardiovasc Interv · May 1, 2020 OBJECTIVES: Describe the use of three-dimensional (3D) patent ductus arteriosus (PDA) modeling to better define ductal anatomy to improve preprocedural planning for ductal stent placement. BACKGROUND: Ductal stenting is an alternative to surgical shunting ... Full text Link to item Cite

Hybrid transcatheter pulmonary valve replacement with a SAPIEN S3 valve after pulmonary artery banding via left lateral thoracotomy.

Journal Article Catheter Cardiovasc Interv · February 15, 2020 For many patients with repaired congenital heart disease, the need for reintervention on dysfunctional right ventricular outflow tracts is pervasive. Many such patients are poor candidates for both transcatheter pulmonary valve replacement and cardiopulmon ... Full text Link to item Cite

Estimating radiation exposure during paediatric cardiac catheterisation: a potential for radiation reduction with air gap technique.

Journal Article Cardiol Young · December 2019 INTRODUCTION: The air gap technique (AGT) is an approach to radiation dose optimisation during fluoroscopy where an "air gap" is used in place of an anti-scatter grid to reduce scatter irradiation. The AGT is effective in adults but remains largely unteste ... Full text Link to item Cite

Postoperative Transcatheter Interventions in Children Undergoing Congenital Heart Surgery.

Journal Article Circ Cardiovasc Interv · June 2019 Background Postoperative transcatheter interventions (TCIs) are performed after congenital heart surgery to treat residual or recurrent anatomic lesions. We used the Society of Thoracic Surgeons Congenital Heart Surgery Database to evaluate rates of postop ... Full text Link to item Cite

Routine postprocedure ultrasound increases rate of detection of femoral arterial thrombosis in infants after cardiac catheterization.

Journal Article Catheter Cardiovasc Interv · March 1, 2019 OBJECTIVES: To examine the effect of implementing postcatheterization ultrasound (US) on femoral arterial thrombosis detection rates and factors associated with thrombosis in infants. BACKGROUND: Although femoral arterial thrombosis is an uncommon complica ... Full text Link to item Cite

Validation and refinement of the catheterization RISk score for pediatrics (CRISP score): An analysis from the congenital cardiac interventional study consortium.

Journal Article Catheter Cardiovasc Interv · January 1, 2019 OBJECTIVES: To externally validate the CRISP score, and determine if refinements might improve clinical utility. BACKGROUND: The CRISP score estimates risk of serious adverse events (SAEs) for pediatric catheterization. METHODS: Pediatric (age < 18) proced ... Full text Link to item Cite

Coarctation of the Aorta

Chapter · January 1, 2019 Coarctation of the aorta was first described by Morgagni in 1760, and in its simplest form refers to isolated and discrete stenosis of the proximal thoracic aorta. However, coarctation may also be associated with a longer segment of narrowing, with hypopla ... Full text Cite

Variability in radiation dose and image quality: A comparison across fluoroscopy-system vendors, generations of equipment and institutions.

Journal Article Catheter Cardiovasc Interv · December 1, 2018 OBJECTIVES: To evaluate differences in radiation dose and image quality across institutions, fluoroscope vendors and generations of fluoroscopes for pediatric cardiac catheterization. BACKGROUND: Increased recognition of the potentially harmful effects of ... Full text Link to item Cite

3-Year Outcomes of the Edwards SAPIEN Transcatheter Heart Valve for Conduit Failure in the Pulmonary Position From the COMPASSION Multicenter Clinical Trial.

Journal Article JACC Cardiovasc Interv · October 8, 2018 OBJECTIVES: This study provides the 3-year follow-up results of the COMPASSION (Congenital Multicenter Trial of Pulmonic Valve Regurgitation Studying the SAPIEN Transcatheter Heart Valve) trial. Patients with moderate to severe pulmonary regurgitation and/ ... Full text Link to item Cite

Usefulness of PREDIC3T Case Type Risk Category in the CRISP Registry.

Journal Article Am J Cardiol · February 1, 2024 Procedural risk in Congenital Cardiac Catheterization (PREDIC3T) was recently reported as the contemporary procedure-type risk metric by the Congenital Cardiac Catheterization Project on Outcomes (C3PO) registry. The usefulness of this metric has not been ... Full text Link to item Cite

The Effect of Udenafil on Heart Rate and Blood Pressure in Adolescents With the Fontan Circulation.

Journal Article Am J Cardiol · January 1, 2024 The Fontan Udenafil Exercise Longitudinal (FUEL) trial showed that treatment with udenafil was associated with improved exercise performance at the ventilatory anaerobic threshold in children with Fontan physiology. However, it is not known how the initiat ... Full text Link to item Cite

Hybrid approach to pulmonary vein stenting after Fontan palliation.

Journal Article Catheter Cardiovasc Interv · November 2023 Pulmonary vein stenosis is poorly tolerated in patients who have undergone Fontan palliation and typically requires surgical or transcatheter intervention. Percutaneous transcatheter approaches to intervention can be technically difficult due to challengin ... Full text Link to item Cite

Impact of Ventricular Dominance on Long-Term Fontan Outcomes: A 25-year Single-institution Study.

Journal Article Ann Thorac Surg · September 2023 BACKGROUND: The long-term impact of ventricular dominance on Fontan outcomes is controversial. This study examined this issue in a 25-year cohort. METHODS: Patients undergoing the Fontan operation at a single institution (Duke University Medical Center, Du ... Full text Link to item Cite

Update on Transcatheter Device Closure of Congenital Septal Defects.

Journal Article Curr Cardiol Rep · September 2023 PURPOSE OF REVIEW: The goal of this paper is to review currently available devices for closure of atrial septal defects (ASDs) and ventricular septal defects (VSDs). RECENT FINDINGS: Favorable results from the ASSURED trial resulted in FDA approval for the ... Full text Link to item Cite

Congenital Pulmonic Valve Dysfunction Treated With SAPIEN 3 Transcatheter Heart Valve (from the COMPASSION S3 Trial).

Journal Article Am J Cardiol · March 1, 2023 Significant pulmonary regurgitation (PR) and pulmonary stenosis are common after surgical repair of some congenital heart defects. This prospective, single-arm, multicenter trial enrolled patients who underwent transcatheter heart valve (THV) implantation ... Full text Link to item Cite

Whole-Chest Three-Dimensional Modeling Aids Hybrid Pulmonary Valve Replacement Following Double Switch Operation.

Journal Article World J Pediatr Congenit Heart Surg · January 2023 The double switch operation for congenitally corrected transposition of the great arteries (CC-TGA) has been associated with high rates of reintervention, including the need for pulmonary valve replacement. Hybrid interventional approaches can avoid bypass ... Full text Link to item Cite

Transition to Ductal Stenting for Single Ventricle Patients Led to Improved Survival: An Institutional Case Series.

Journal Article World J Pediatr Congenit Heart Surg · July 2021 BACKGROUND: The use of systemic-to-pulmonary shunts (SPS) in neonates with single ventricle heart defects and ductal-dependent pulmonary blood flow (ddPBF) was historically associated with high morbidity and mortality at our center. As a result, we transit ... Full text Link to item Cite

Mustard Baffle Revision With Systemic Ventricular Assist Device Placement.

Journal Article Ann Thorac Surg · October 2020 Systemic right ventricle failure often develops in patients with dextro-transposition of the great arteries who have undergone atrial-level switch procedures. An adult with dextro-transposition of the great arteries with Mustard repair in childhood present ... Full text Link to item Cite

Palliating Premature Infants With Obstructed Total Anomalous Pulmonary Venous Connection via Catheterization.

Journal Article World J Pediatr Congenit Heart Surg · July 2020 Obstructed total anomalous pulmonary venous connection (TAPVC) involves anomalous drainage of all pulmonary veins to a location other than the left atrium and typically causes significant respiratory symptoms requiring urgent surgical repair. Premature inf ... Full text Link to item Cite

Preprocedural three-dimensional planning aids in transcatheter ductal stent placement: A single-center experience.

Journal Article Catheter Cardiovasc Interv · May 1, 2020 OBJECTIVES: Describe the use of three-dimensional (3D) patent ductus arteriosus (PDA) modeling to better define ductal anatomy to improve preprocedural planning for ductal stent placement. BACKGROUND: Ductal stenting is an alternative to surgical shunting ... Full text Link to item Cite

Hybrid transcatheter pulmonary valve replacement with a SAPIEN S3 valve after pulmonary artery banding via left lateral thoracotomy.

Journal Article Catheter Cardiovasc Interv · February 15, 2020 For many patients with repaired congenital heart disease, the need for reintervention on dysfunctional right ventricular outflow tracts is pervasive. Many such patients are poor candidates for both transcatheter pulmonary valve replacement and cardiopulmon ... Full text Link to item Cite

Estimating radiation exposure during paediatric cardiac catheterisation: a potential for radiation reduction with air gap technique.

Journal Article Cardiol Young · December 2019 INTRODUCTION: The air gap technique (AGT) is an approach to radiation dose optimisation during fluoroscopy where an "air gap" is used in place of an anti-scatter grid to reduce scatter irradiation. The AGT is effective in adults but remains largely unteste ... Full text Link to item Cite

Postoperative Transcatheter Interventions in Children Undergoing Congenital Heart Surgery.

Journal Article Circ Cardiovasc Interv · June 2019 Background Postoperative transcatheter interventions (TCIs) are performed after congenital heart surgery to treat residual or recurrent anatomic lesions. We used the Society of Thoracic Surgeons Congenital Heart Surgery Database to evaluate rates of postop ... Full text Link to item Cite

Routine postprocedure ultrasound increases rate of detection of femoral arterial thrombosis in infants after cardiac catheterization.

Journal Article Catheter Cardiovasc Interv · March 1, 2019 OBJECTIVES: To examine the effect of implementing postcatheterization ultrasound (US) on femoral arterial thrombosis detection rates and factors associated with thrombosis in infants. BACKGROUND: Although femoral arterial thrombosis is an uncommon complica ... Full text Link to item Cite

Validation and refinement of the catheterization RISk score for pediatrics (CRISP score): An analysis from the congenital cardiac interventional study consortium.

Journal Article Catheter Cardiovasc Interv · January 1, 2019 OBJECTIVES: To externally validate the CRISP score, and determine if refinements might improve clinical utility. BACKGROUND: The CRISP score estimates risk of serious adverse events (SAEs) for pediatric catheterization. METHODS: Pediatric (age < 18) proced ... Full text Link to item Cite

Coarctation of the Aorta

Chapter · January 1, 2019 Coarctation of the aorta was first described by Morgagni in 1760, and in its simplest form refers to isolated and discrete stenosis of the proximal thoracic aorta. However, coarctation may also be associated with a longer segment of narrowing, with hypopla ... Full text Cite

Variability in radiation dose and image quality: A comparison across fluoroscopy-system vendors, generations of equipment and institutions.

Journal Article Catheter Cardiovasc Interv · December 1, 2018 OBJECTIVES: To evaluate differences in radiation dose and image quality across institutions, fluoroscope vendors and generations of fluoroscopes for pediatric cardiac catheterization. BACKGROUND: Increased recognition of the potentially harmful effects of ... Full text Link to item Cite

3-Year Outcomes of the Edwards SAPIEN Transcatheter Heart Valve for Conduit Failure in the Pulmonary Position From the COMPASSION Multicenter Clinical Trial.

Journal Article JACC Cardiovasc Interv · October 8, 2018 OBJECTIVES: This study provides the 3-year follow-up results of the COMPASSION (Congenital Multicenter Trial of Pulmonic Valve Regurgitation Studying the SAPIEN Transcatheter Heart Valve) trial. Patients with moderate to severe pulmonary regurgitation and/ ... Full text Link to item Cite

Correlation between minute carbon dioxide elimination and pulmonary blood flow in single-ventricle patients after stage 1 palliation and 2-ventricle patients with intracardiac shunts: A pilot study.

Journal Article Paediatr Anaesth · July 2018 BACKGROUND: Assessment of pulmonary blood flow and cardiac output is critical in the postoperative management of patients with single-ventricle physiology or 2-ventricle physiology with intracardiac shunting. Currently, such hemodynamic data are only obtai ... Full text Link to item Cite

Transcatheter Valve Replacement for Right-sided Valve Disease in Congenital Heart Patients.

Journal Article Prog Cardiovasc Dis · 2018 Pulmonary and/or tricuspid valve dysfunction is common among individuals with congenital heart disease, and surgical intervention often carries prohibitive risks. Transcatheter valve replacement (TVR) of the right-sided cardiac valves has become a viable t ... Full text Open Access Link to item Cite

Cardiac catheterization laboratory

Chapter · January 1, 2018 This chapter discusses the roles of both diagnostic and therapeutic cardiac catheterization in the management of critically ill infants and children. Providers caring for these patients should be comfortable interpreting invasively acquired hemodynamic dat ... Full text Cite

Post-market surveillance to detect adverse events associated with Melody® valve implantation.

Journal Article Cardiol Young · August 2017 OBJECTIVE: The aim of this study was to describe previously unrecognised or under-recognised adverse events associated with Melody® valve implantation. BACKGROUND: In rare diseases and conditions, it is typically not feasible to conduct large-scale safety ... Full text Link to item Cite

Utilizing Hybrid Techniques to Maximize Clinical Outcomes in Congenital Heart Disease.

Journal Article Curr Cardiol Rep · August 2017 PURPOSE OF REVIEW: The past couple of decades have brought tremendous advances to the field of pediatric and adult congenital cardiology. Recent collaborations between interventional cardiologists and cardiac surgeons have sparked novel innovative hybrid p ... Full text Link to item Cite

The impact of femoral arterial thrombosis in paediatric cardiac catheterisation: a national study.

Journal Article Cardiol Young · July 2017 BACKGROUND: Previous studies have identified risk factors for femoral arterial thrombosis after paediatric cardiac catheterisation, but none of them have evaluated the clinical and economic significance of this complication at the population level. Therefo ... Full text Link to item Cite

Impact of imaging approach on radiation dose and associated cancer risk in children undergoing cardiac catheterization.

Journal Article Catheter Cardiovasc Interv · April 2017 OBJECTIVES: To quantify the impact of image optimization on absorbed radiation dose and associated risk in children undergoing cardiac catheterization. BACKGROUND: Various imaging and fluoroscopy system technical parameters including camera magnification, ... Full text Link to item Cite

Maladaptive aortic properties after the Norwood procedure: An angiographic analysis of the Pediatric Heart Network Single Ventricle Reconstruction Trial.

Journal Article J Thorac Cardiovasc Surg · August 2016 OBJECTIVES: Aortic arch reconstruction in children with single ventricle lesions may predispose to circulatory inefficiency and maladaptive physiology leading to increased myocardial workload. We sought to describe neoaortic anatomy and physiology, risk fa ... Full text Link to item Cite

Transcatheter pulmonary embolectomy after fontan.

Journal Article Catheter Cardiovasc Interv · April 2016 Pulmonary embolism (PE) is a significant cause of morbidity and mortality among hospitalized patients, and thrombolytics are the mainstay of treatment. However, for patients who fail or have contraindications to thrombolytic therapy, catheter-based therapi ... Full text Link to item Cite

CRISP: Catheterization RISk score for Pediatrics: A Report from the Congenital Cardiac Interventional Study Consortium (CCISC).

Journal Article Catheter Cardiovasc Interv · February 1, 2016 OBJECTIVES: We sought to develop a scoring system that predicts the risk of serious adverse events (SAE's) for individual pediatric patients undergoing cardiac catheterization procedures. BACKGROUND: Systematic assessment of risk of SAE in pediatric cathet ... Full text Link to item Cite

Coarctation of the aorta: Management from infancy to adulthood.

Journal Article World J Cardiol · November 26, 2015 Coarctation of the aorta is a relatively common form of congenital heart disease, with an estimated incidence of approximately 3 cases per 10000 births. Coarctation is a heterogeneous lesion which may present across all age ranges, with varying clinical sy ... Full text Link to item Cite

Sildenafil exposure and hemodynamic effect after Fontan surgery.

Journal Article Pediatr Crit Care Med · January 2014 OBJECTIVE: Determine sildenafil exposure and hemodynamic effect in children after Fontan single-ventricle surgery. DESIGN: Prospective dose-escalation trial. SETTING: Single-center pediatric catheterization laboratory. PATIENTS: Nine children post Fontan s ... Full text Link to item Cite

Intervention for recoarctation in the single ventricle reconstruction trial: incidence, risk, and outcomes.

Journal Article Circulation · August 27, 2013 BACKGROUND: Recoarctation after the Norwood procedure increases risk for mortality. The Single Ventricle Reconstruction (SVR) trial randomized subjects with a single right ventricle undergoing a Norwood procedure to a modified Blalock-Taussig shunt or a ri ... Full text Link to item Cite

Sildenafil exposure and hemodynamic effect after stage II single-ventricle surgery.

Journal Article Pediatr Crit Care Med · July 2013 OBJECTIVES: To determine sildenafil exposure and hemodynamic effect in children after stage II single-ventricle surgery. DESIGN: Prospective, dose escalation trial. SETTING: Single-center, pediatric catheterization laboratory. PATIENTS: Twelve children pos ... Full text Link to item Cite

A strategy for atrial septal defect closure in small children that eliminates long-term wall erosion risk.

Journal Article Catheter Cardiovasc Interv · March 2013 OBJECTIVES: To evaluate feasibility, efficacy, and safety of an approach to atrial septal defect (ASD) occlusion in children ≤20 kg that eliminates cardiac wall erosion risk. BACKGROUND: Cardiac wall erosion is a potentially catastrophic complication of AS ... Full text Link to item Cite

Percutaneous interventions in high-risk patients following Mustard repair of transposition of the great arteries.

Journal Article Catheter Cardiovasc Interv · November 15, 2012 OBJECTIVES: To assess safety, efficacy, and intermediate term outcomes of percutaneous interventions in Mustard patients. BACKGROUND: Baffle leaks and obstruction are present in 20% of Mustard survivors. Surgical reintervention is associated with high mort ... Full text Link to item Cite

Percutaneous pulmonary valve replacement

Journal Article Progress in Pediatric Cardiology · May 1, 2012 Each year in the United States more than 4000 newborns are diagnosed with complex congenital heart disease involving right ventricular outflow tract obstruction. Despite advances in surgical techniques with right ventricle to pulmonary artery conduits, pro ... Full text Cite

Angiotensin-converting enzyme inhibition alters the inflammatory and fibrinolytic response to cardiopulmonary bypass in children.

Journal Article Pediatr Crit Care Med · September 2011 OBJECTIVE: Many children with a congenital heart defect undergo surgical correction requiring cardiopulmonary bypass. One-sixth of these patients take an angiotensin-converting enzyme inhibitor for heart failure treatment. The effect of angiotensin-convert ... Full text Link to item Cite

Angiojet rheolytic thrombectomy in infants following cardiac surgery.

Journal Article Catheter Cardiovasc Interv · August 1, 2010 OBJECTIVES: To present our experience with the Angiojet thrombectomy system for percutaneous thrombectomy in infants following cardiac surgery. BACKGROUND: Arterial and venous thrombosis after pediatric cardiac surgery is life threatening, particularly in ... Full text Link to item Cite

The cerebroplacental Doppler ratio predicts postnatal outcome in fetuses with congenital heart block.

Journal Article J Perinatol · December 2008 OBJECTIVE: Autoimmune-mediated congenital complete heart block (CCHB) is associated with significant perinatal morbidity and mortality, and prenatal monitoring of these fetuses is a significant challenge. The cerebroplacental Doppler ratio (CPR), defined a ... Full text Link to item Cite

Milrinone use is associated with postoperative atrial fibrillation after cardiac surgery.

Journal Article Circulation · October 14, 2008 BACKGROUND: Postoperative atrial fibrillation (AF), a frequent complication after cardiac surgery, causes morbidity and prolongs hospitalization. Inotropic drugs are commonly used perioperatively to support ventricular function. This study tested the hypot ... Full text Link to item Cite

A case of an infant with flail tricuspid valve due to spontaneous papillary muscle rupture: was neonatal lupus the culprit?

Journal Article Pediatr Cardiol · March 2008 A 3-month-old infant presented in extremis with a flail tricuspid valve. The authors theorized that the genesis of her papillary muscle rupture was perinatal ischemia compounded by worsening pulmonary valvular stenosis leading to excessive fiber tension. H ... Full text Link to item Cite

A cord blood transplant recipient with Mycobacterium mucogenicum central venous catheter infection after infusion of tap water.

Journal Article Pediatr Infect Dis J · June 2006 Mycobacterium mucogenicum is an unusual cause of central venous catheter and wound infections in immunocompromised persons. The organism is often found in drinking water and is resistant to many disinfectants. We report a cord blood transplant recipient wh ... Full text Link to item Cite