Cirurgia Cardiotorácica
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Browsing Cirurgia Cardiotorácica by Subject "Adrenal Cortex Hormones/therapeutic use"
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- Thoracic Duct Decompression for Protein-Losing Enteropathy in Failing Fontan CirculationPublication . António, M; Gordo, A; Pereira, C; Pinto, MF; Fragata, I; Fragata, JAn 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.