Document Detail

Reversal of protein-losing enteropathy after ligation of systemic-pulmonary shunt.
MedLine Citation:
PMID:  10086559     Owner:  NLM     Status:  MEDLINE    
A 21-year-old white woman, born with a univentricular heart, had undergone staged procedures before Fontan correction. She then began to develop edema, protein-losing enteropathy, and ascites refractory to diuretic therapy. Cardiac angiography showed a patent right Blalock-Taussig shunt, with turbulent cavopulmonary circulation. After undergoing an unsuccessful attempt at coil embolization she then underwent shunt ligation, with resolution of symptoms and normalization of protein levels. This report draws attention to the importance of cavopulmonary laminar flow to prevent the development of protein-losing enteropathy.
P Masetti; S M Marianeschi; A Cipriani; F S Iorio; C F Marcelletti
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  67     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1999 Jan 
Date Detail:
Created Date:  1999-04-14     Completed Date:  1999-04-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  235-6     Citation Subset:  AIM; IM    
Department of Cardiac Surgery, Hesperia Hospital, Modena, Italy.
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MeSH Terms
Coronary Circulation*
Fontan Procedure / adverse effects
Protein-Losing Enteropathies / etiology,  surgery*
Pulmonary Artery / physiopathology
Regional Blood Flow
Vena Cava, Inferior / physiopathology

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