| Direct Measurement of Porto-systemic Gradient in a Failing Fontan Circulation. | |
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MedLine Citation:
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PMID: 21356034 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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We describe the case history of a 42-year-old man with cardiac cirrhosis, portal hypertension, and life-threatening variceal bleeding after Fontan revision surgery. Direct pressure measurements in the portal vein, though high, demonstrated only a modest portosystemic gradient (PSG), 9 mm Hg. A transjugular intrahepatic portosystemic shunt procedure was performed. This reduced the PSG (3 mm Hg). His bleeding was controlled. The patient's histopathological findings were identical to that previously documented in Fontan patients, raising the question of whether these subdiaphragmatic hemodynamics are representative of the broader failing Fontan population. |
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Authors:
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Madhavi Velpula; Nick Sheron; Neill Guha; Tony Salmon; Nigel Hacking; Gruschen R Veldtman |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-1 |
Journal Detail:
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Title: Congenital heart disease Volume: - ISSN: 1747-0803 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-1 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101256510 Medline TA: Congenit Heart Dis Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 Copyright the Authors. Congenital Heart Disease © 2011 Wiley Periodicals, Inc. |
Affiliation:
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Department of Adult Congenital Heart Disease, Cardiothoracic Division, Southampton University Hospital, Southampton, UK Department of Hepatology, Southamption University Hospital, Southampton, UK Department of Hepatology, Nottingham University Hospital, Nottingham, UK Department of Radiology, Southampton University Hospital, Southampton, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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