Thoracic Duct Decompression for Protein-Losing Enteropathy in Failing Fontan Circulation.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 27211948.
- Also identified by DOI 10.1016/j.athoracsur.2015.08.079.
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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.
Medical subject headings
- Decompression, Surgical
- Fontan Procedure
- Protein-Losing Enteropathies
- Thoracic Duct