Thoracic Duct Decompression for Protein-Losing Enteropathy in Failing Fontan Circulation

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Thoracic Duct Decompression for Protein-Losing Enteropathy in Failing Fontan Circulation.

An infrequent but devastating late complication of Fontan circulation is protein-losing enteropathy (PLE), which results from unbalanced lymphatic homeostasis. Surgical decompression of the thoracic duct by redirecting its drainage to the pulmonary venous atrium has been introduced recently as a possible treatment. This report describes a single-institution experience with this innovative proce...

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Protein-losing enteropathy after the Fontan operation.

Patients were observed after the Fontan operation to determine the frequency and severity of protein-losing enteropathy. A total of 427 patients who survived for 30 days after the Fontan operation, performed between 1973 and January 1987, were analyzed and, thus far, protein-losing enteropathy has developed in 47 of 427. The cumulative risk for the development of protein-losing enteropathy by 1...

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Gastrointestinal haemorrhage in protein-losing enteropathy associated with the Fontan circulation.

A 29-year-old patient was born with a double inlet left ventricle with transposition of the great arteries and pulmonary valvular stenosis. This was initially treated with a right modified Blalock–Taussig shunt, and 2 years later he underwent a Fontan operation. Aged 13 years he had an aortic valve replacement with reconstruction of his Fontan circulation, making it more haemodynamically stream...

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Correction: Protein-losing enteropathy in patients with Fontan circulation: is it triggered by infection?

Reference 1. Lenz D, Hambsch J, Schneider P, Häusler HJ, Sauer U, Hess J, Tárnok A: Protein-losing enteropathy in patients with Fontan circulation: is it triggered by infection? Crit Care 2003 7:185190. Correction Correction: Protein-losing enteropathy in patients with Fontan circulation: is it triggered by infection? Dominik Lenz1, Jörg Hambsch2, Peter Schneider3, Hans-Jürgen Häusler2, Ursula ...

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Protein-losing enteropathy in patients with Fontan circulation: is it triggered by infection?

INTRODUCTION Protein-losing enteropathy (PLE) is a recognised complication of the Fontan circulation. Its pathogenesis is not fully understood, however, and it is unclear why its onset occurs months or even years after Fontan surgery. PATIENTS We report a 4.5-year-old girl with Fontan circulation who developed PLE almost 1 year after surgery. At the time of onset the patient had rotavirus ent...

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ژورنال

عنوان ژورنال: The Annals of Thoracic Surgery

سال: 2016

ISSN: 0003-4975

DOI: 10.1016/j.athoracsur.2015.08.079