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Single ventricle patients not requiring an intervention can undergo successful Fontan completion with CMR and echo alone with similar short-term outcomes to C, which was used as a control, preventing an invasive test and exposure to radiation. CMR can add information in a significant number of patients. Cath and CMR are utilized together for interventions and assessment of aortopulmonary collaterals.

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Trust is the foundation upon which our healthcare system is built, but the current trends showing increasing distrust compromise the system's effectiveness. This chapter discusses the reasons behind the decline. It argues that most of the erosion is due to developments that occurred within the health care system—new delivery system, changes in the patient-doctor relationship, and the increasing self-scrutiny leading to controversy around medical errors. Popular media has also helped perpetuate the public's view of distrust. Given the role of trust that is integral to the healthcare system, the chapter examines why and how rebuilding trust can be achieved.