Journal article

Protein-losing enteropathy and plastic bronchitis after the Fontan procedure

Varun J Sharma, Ajay J Iyengar, Diana Zannino, Thomas Gentles, Robert Justo, David S Celermajer, Andrew Bullock, David Winlaw, Gavin Wheaton, Luke Burchill, Rachael Cordina, Yves D'Udekem

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | MOSBY-ELSEVIER | Published : 2021

Abstract

OBJECTIVES: Protein losing enteropathy and plastic bronchitis are severe complications in Fontan circulation, with 5-year survival ranging from 46% to 88%. We report risk factors and outcomes of protein losing enteropathy and plastic bronchitis in patients undergoing the Fontan. METHODS: We performed a retrospective analysis of 1561 patients from the Australia New Zealand Fontan Registry. Two end points were death and cardiac transplantation examined with Cox regression (if no competing risks) or cumulative incidence curves and cause-specific Cs regression. RESULTS: A total of 55 patients with protein losing enteropathy/plastic bronchitis were included. Their median age at the Fontan was 5.7..

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