Carbenes represent a special class of reactive compounds that possess a lone pair of electrons on a carbon atom. Among the myriad examples of carbenes in the literature, cyclobutylidene stands out as a unique nonclassical compound that includes transannular interaction between opposing C1 and C3 carbon atoms within a four-membered ring. On its lowest potential energy surface (X[combining tilde]...

Syntheses of a series of novel germanium complexes, viz. RN(CH(2)CH(2)NC(6)F(5))(2)GeHal(2) (, R = Me, Hal = Cl; , R = Me, Hal = Br; , R = PhCH(2), Hal = Cl; , R = PhCH(2), Hal = Br), as well as MeN[CH(2)(2-C(4)H(3)N)](2)GeHal(2) (, Hal = Cl; , Hal = Br), by the reaction of GeHal(4) with dilithium salts of corresponding triamines are presented. PhCH(2)N(CH(2)CH(2)NSiMe(3))(2)GeCl(2) () was prep...

We have read with great interest the study by Khan et al.[1]: “Surgery for Tetralogy of Fallot in Adults: Early Outcomes”, published in the Brazilian Journal of Cardiovascular Surgery, volume 31, issue 4, pages 300-3. While the authors should be congratulated for their efforts to develop a pediatric cardiac surgery program in a difficult context, we have some comments, concerns, and questions a...

BACKGROUND Primary repair of Fallot tetralogy has been performed successfully for the last 45 years. It has low surgical mortality (< 5%), with excellent long-term results. However, there are delayed adverse effects: progressive right ventricular dilation and dysfunction, arrhythmia, and sudden death. In our centre, Fallot tetralogy is the most common form of cyanotic congenital heart disease (...

OBJECTIVES Transannular patching is used to relieve significant pulmonary annular stenosis during tetralogy of Fallot repair. Although recent literature has focused on the deleterious effects of pulmonary regurgitation, inadequate relief of stenosis may increase postoperative mortality and the re-intervention rate. Patching criteria based on pulmonary annular z-scores are ambiguous because of t...

the purpose of this study was to evaluate the early and late outcome after total correction of tetralogy of fallot (tof) in 101 consecutive patients with a mean age of 8.23 ± 4.90 years underwent repair of surgery at one institution between 1995 and 2006. forty two patients had initial palliative operations. a transannular patch was inserted in 60 (58.5%) patients. risk factors for operative mo...

The total synthesis of hyacinthacine A2 is reported via a novel transannular hydroamination in which planar chirality of a 5-aza-trans-cyclooctene precursor is transferred to point chirality in the product. Key to the success of this strategy was the development of a method for establishing absolute planar chirality via stereocontrolled photoisomerization of a 5-aza-cis-cyclooctene. This was ac...

The title compound, C(14)H(17)FO(2), was obtained from anti-4a,9a:8a,10a-diep-oxy-1,4,4a,5,8,8a,9,9a,10,10a-deca-hydro-anthra-cene via tandem hydrogen-fluoride-mediated epoxide ring-opening and transannular oxacyclization. With the two cyclo-hexene rings folded towards the oxygen bridge, the title tetra-cyclic fluoro-alcohol mol-ecule displays a conformation remin-iscent of a pagoda. The crysta...

A combination of (1) H, (6) Li, (13) C, and (15) N NMR spectroscopies and density functional theory computations explores the formation of mixed aggregates by a dilithium salt of a C2 -symmetric chiral tetraamine (Koga's base). Lithium halides, acetylides, alkoxides, and monoalkylamides form isostructural trilithiated mixed aggregates with few exceptions. (6) Li-(13) C and (6) Li-(15) N couplin...