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The Annals of Thoracic Surgery
Article . 2016 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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Thoracic Duct Decompression for Protein-Losing Enteropathy in Failing Fontan Circulation

Authors: António, M; Gordo, A; Pereira, C; Pinto, MF; Fragata, I; Fragata, J;

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

Abstract

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 procedure in 2 patients with failing Fontan circulation with PLE refractory to optimized medical therapy.

Country
Portugal
Keywords

Heart Defects, Congenital, Male, Heart Atria/surgery, Adolescent, Protein-Losing Enteropathies, Pulmonary Veins/surgery, Decompression, Surgical/methods, Heart Defects, Congenital/surgery, Adrenal Cortex Hormones/therapeutic use, HSM CCT, Fontan Procedure, Norwood Procedures, HSM CAR PED, Thoracic Duct, Lymphatic System, Protein-Losing Enteropathies/surgery, Atrioventricular Block/etiology, Adrenal Cortex Hormones, Hypoplastic Left Heart Syndrome, Atrioventricular Block/therapy, Humans, Protein-Losing Enteropathies/etiology, Heart Atria, Brachiocephalic Veins/diagnostic imaging, Atrioventricular Block, HSM ANS, Lymphatic System/physiopathology, Brachiocephalic Veins, Heart Atria/diagnostic imaging, Cardiac Pacing, Artificial, Fontan Procedure/adverse effects, Brachiocephalic Veins/surgery, Decompression, Surgical, Combined Modality Therapy, Vena Cava, Superior/surgery, Pulmonary Veins, Vasodilator Agents/therapeutic use, Female, Thoracic Duct/surgery, Tomography, X-Ray Computed, Hypoplastic Left Heart Syndrome/surgery

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
views
OpenAIRE UsageCountsViews provided by UsageCounts
downloads
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44
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