Protein-losing enteropathy and intestinal lymphangiectasia after superior vena cava-right pulmonary artery (Glenn) shunt

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Development of pulmonary arteriovenous shunt after superior vena cava-right pulmonary artery (Glenn) anastomosis. Report of four cases.

Four patients with cyanotic congenital heart disease who had previously undergone superior vena cava-right pulmonary artery (Glenn) anastomosis developed pulmonary arteriovenous malformations that resulted in significant intrapulmonary right-to-left shunting. This abnormality was documented by selective angiography, oximetry, and contrast echocardiogrphy. It may be a major cause of late clinica...

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Primary intestinal lymphangiectasia (PIL), also known as Waldmann's disease, is an exudative enteropathy resulting from morphologic abnormalities in the intestinal lymphatics. In this article, we describe a 12-year-old boy with PIL that led to protein-losing enteropathy characterized by diarrhea, hypoalbuminemia associated with edema (serum albumin level: 1.0 g/dL), and hypogammaglobulinemia (s...

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Experience with Anastomosis of Superior Vena Cava to Pulmonary Artery ( Glenn Procedure )

CERTAIN CHILDREN with cardiac malformations and inereasing eyanosis require immediate palliation. They cannot wait until they reach the minimum body size required for a safe corrective operation with perfusion or until a corrective procedure is devised for their lesions. Systemic artery to pulmonary artery anastomosis has provided palliation for many of these patients. Anatomical findings, howe...

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CERTAIN CHILDREN with cardiac malformations and inereasing eyanosis require immediate palliation. They cannot wait until they reach the minimum body size required for a safe corrective operation with perfusion or until a corrective procedure is devised for their lesions. Systemic artery to pulmonary artery anastomosis has provided palliation for many of these patients. Anatomical findings, howe...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1979

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)38186-3