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Thoracic Duct Decompression for Protein-Losing Enteropathy in Failing Fontan Circulation
Marta António1, Andreia Gordo2, Conceição Pereira1
1Department of Pediatric Cardiology, Hospital de Santa Marta, Centro Hospitalar Lisboa Central, Nova Medical School, Lisbon, Portugal.
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.
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