Journal article

Fontan-associated nephropathy: Predictors and outcomes

Jacqueline Nguyen Khuong, Thomas G Wilson, Leeanne E Grigg, Andrew Bullock, David Celermajer, Patrick Disney, Vishva A Wijesekera, Tim Hornung, Diana Zannino, Ajay J Iyengar, Yves d'Udekem

International Journal of Cardiology | ELSEVIER IRELAND LTD | Published : 2020

Abstract

BACKGROUND: Nephropathy is a known complication of the Fontan circulation, but its determinants have not been identified and patient outcomes are also still unknown. METHODS: The Australia and New Zealand Fontan Registry was used to identify those who underwent Fontan operation before and survived beyond 16-years-old with an intact Fontan circulation. Serum creatinine values were collected for each patient between 16 and 25 years and at recent follow-up. The Modification of Diet in Renal Disease (MDRD) equation was used to calculate eGFR. Patient outcomes were obtained from the Registry. Fontan failure was defined as death, transplantation, plastic bronchitis, protein losing enteropathy, Fon..

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