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

2016-06Journal article Open access
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dc.contributor.authorAntónio, M
dc.contributor.authorGordo, A
dc.contributor.authorPereira, C
dc.contributor.authorPinto, MF
dc.contributor.authorFragata, I
dc.contributor.authorFragata, J
dc.date.accessioned2016-05-24T15:58:25Z
dc.date.available2016-05-24T15:58:25Z
dc.date.issued2016-06
dc.description.abstractAn 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.pt_PT
dc.identifier.citationAnn Thorac Surg. 2016 Jun;101(6):2370-3pt_PT
dc.identifier.doi10.1016/j.athoracsur.2015.08.079pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2507
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.subjectHSM CAR PEDpt_PT
dc.subjectHSM ANSpt_PT
dc.subjectHSM CCTpt_PT
dc.subjectAdrenal Cortex Hormones/therapeutic usept_PT
dc.subjectAtrioventricular Block/etiologypt_PT
dc.subjectAtrioventricular Block/therapypt_PT
dc.subjectAdolescent
dc.subjectBrachiocephalic Veins/diagnostic imaging
dc.subjectBrachiocephalic Veins/surgery
dc.subjectCardiac Pacing, Artificial
dc.subjectCombined Modality Therapy
dc.subjectDecompression, Surgical/methods
dc.subjectFontan Procedure/adverse effects
dc.subjectHeart Atria/diagnostic imaging
dc.subjectHeart Atria/surgery
dc.subjectHeart Defects, Congenital/surgery
dc.subjectHypoplastic Left Heart Syndrome/surgery
dc.subjectLymphatic System/physiopathology
dc.subjectNorwood Procedures
dc.subjectProtein-Losing Enteropathies/etiology
dc.subjectProtein-Losing Enteropathies/surgery
dc.subjectPulmonary Veins/surgery
dc.subjectThoracic Duct/surgery
dc.subjectTomography, X-Ray Computed
dc.subjectVasodilator Agents/therapeutic use
dc.subjectVena Cava, Superior/surgery
dc.titleThoracic Duct Decompression for Protein-Losing Enteropathy in Failing Fontan Circulationpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage2373pt_PT
oaire.citation.issue6pt_PT
oaire.citation.startPage2370pt_PT
oaire.citation.titleAnnals of Thoracic Surgerypt_PT
oaire.citation.volume101pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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