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Tag Archives: congenital heart defects

June 2021 Br J Cardiol 2021;28:112–4 doi:10.5837/bjc.2021.029

Liver function monitoring in Fontan-procedure patients: audit of current practice across South Wales

Elliott J Carande, Gergely Szantho

Abstract

Introduction A Fontan procedure is a surgical connection between the systemic venous return and the pulmonary artery performed in complex congenital heart disease where there is only one functioning ventricle.1 Most commonly, tricuspid atresia, pulmonary atresia (with intact ventricular septum), hypoplastic left heart syndrome, and a double inlet ventricle are the congenital heart defects palliated by a Fontan procedure.2 Problems associated with a Fontan procedure include cardiac arrhythmias, ventricular dysfunction, lymphatic dysfunction, protein losing enteropathy, venous thrombosis, plastic bronchitis, liver cirrhosis, and increased risk

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