Intraperitoneal corticosteroids for recurrent ascites in patients with Fontan circulation: Initial clinical experience
| Autor: | Fred M. Wu, Anne Marie Valente, Anna E. Rutherford, Michael N. Singh, Peter A. Nigrovic |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Heart disease business.industry Liver failure 030204 cardiovascular system & hematology medicine.disease Gastroenterology Fontan circulation 03 medical and health sciences Liver disease 0302 clinical medicine 030228 respiratory system Internal medicine Heart failure Ascites medicine Surgery In patient medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiac Surgery. 36:735-738 |
| ISSN: | 1540-8191 0886-0440 |
| Popis: | Individuals with single-ventricle congenital heart disease who are palliated to a Fontan circulation are at risk for heart failure and liver disease, with recurrent ascites being a potentially debilitating cause of late morbidity. Although ascites associated with heart failure or liver failure is usually characterized by a high serum-ascites albumin gradient (SAAG), we have observed multiple instances of ascites in Fontan patients with low SAAG, suggesting an inflammatory process. We present three cases in which recalcitrant ascites severely and adversely impacted the quality of life and describe our initial experience with intraperitoneal corticosteroids in this setting. |
| Databáze: | OpenAIRE |
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