Điều trị hội chứng mất Protein ruột sau phẫu thuật Fontan với phương pháp mở cửa sổ giữa ông mạch nhân tạo và nhĩ phải
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Abstract
Protein-losing enteropathy (PLE) is a rare but life- threatening complication after the Fontan operation. It is caused by the elevated systemic venous pressures associated with the Fontan circulation cause the intestinal protein loss by increased presures in the enteric lymphatic system. Treatment of PLE includes: drug treatment (diuretics, inotropic agents, steroids, albumin human...), surgery (fenestration- conection Gore tex with right atrium), Intervention. In Cardiovascular center - E hospital, We treated for patient who had PLE after Fontan operation by fenestration and drugs therapy. The result is good. The case report is the purpose of our study.
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References
2, Jacobs M, Rychik J, Byrum C, Norwood WJ. Protein-losing enteropathy after the Fontan operation: resolution after baffle fenestration. Ann Thorac Surg 1996;61:206-8.
3, Luc Mertens, Donald J. Hagler, Ursula Sauer et al. Protein - losing enteropathy after the Fontan operation: An internatiional multicenter study. J Thoracic Cardiovasc Surg 1998; 115: 1063 - 1073.
4, Mertens L, Dumoulin M, Gewillig M. Percutaneous fenes- tration of the atrial septum reduces protein- losing enteropa- thy after the Fontan operation. Br Heart J 1994;72 : 591-2.
5, Rychik J, Suh E, Rome J, Jacobs M. Experience with late fenestration for complications after the Fontan operation (abstract). Circulation 1996;94(Suppl): I296.
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