Reversal of protein-losing enteropathy in a child with Fontan circulation is correlated with central venous pressure after heart transplantation.
We report on the reversal of protein-losing enteropathy (PLE) after heart transplantation (HTx) in a 10-yr-old boy with Fontan circulation, previously treated unsuccessfully with heparin for several months. The protein loss continued immediately after the Tx. During the following month, however, a gradual decrease in protein loss was observed, which correlated with a decrease in the inferior vena cava (IVC) pressure. The patient is doing well with a normal serum albumin level and a normal IVC pressure, 2 yr after Tx.
Holmgren
D
D
Department of Paediatrics, Division of Cardiology, Sahlgrenska University Hospital, SE-416 85 Göteborg, Sweden. daniel.holmgren@sahlgrenska.se
Berggren
H
H
Wåhlander
H
H
Hallberg
M
M
Myrdal
U
U
D001794:Blood Pressure; D002648:Child; D018729:Fontan Procedure / Q000009:adverse effects; D016027:Heart Transplantation / Q000502:physiology; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011504:Protein-Losing Enteropathies / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy*; D014682:Vena Cava, Inferior / Q000503:physiopathology*