Successful Treatment of Protein-Losing Enteropathy and Plastic Bronchitis by Biphasic Cuirass Ventilation in a Patient with Failing Fontan Circulation.

Abstract:

:We present a 16-year-old male patient with hypoplastic left heart syndrome who developed protein-losing enteropathy (PLE) and plastic bronchitis (PB) after a Fontan operation. He received medical therapies, including albumin infusion, unfractionated heparin, and high-dose anti-aldosterone therapy but could not obtain clinical relief. Biphasic cuirass ventilation (BCV) led to expectoration of bronchial casts and prompt resolution of PB. Notably, clinical symptoms related to PLE were dramatically improved after starting BCV. A brief period of BCV increased stroke volume from 26±1.4 to 39±4.0 mL. This case suggests that BCV could be an effective treatment for PLE in patients with failing Fontan circulation.

journal_name

Int Heart J

authors

Okada S,Muneuchi J,Nagatomo Y,Nonaka K,Iida C,Shirouzu H,Matsuoka R,Watanabe M,Joo K

doi

10.1536/ihj.17-292

subject

Has Abstract

pub_date

2018-07-31 00:00:00

pages

873-876

issue

4

eissn

1349-2365

issn

1349-3299

journal_volume

59

pub_type

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