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Vol. 22 - Num. 86

Clinical Reviews in Digestive Diseases

Liver disease after Fontan procedure

David Recio Arcauza, Iván Carabaño Aguadoa, Elisa Aguirre Pascualb, Elima Pérez de Diegoa, Belén Huget Rodrígueza, Enrique Salcedo Lobatoa, Enrique Medina Beníteza

aSección de Gastroenterología, Hepatología y Nutrición Pediátrica. Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
bSección de Radiología Infantil. Servicio de Radiodiagnóstico. Hospital Universitario 12 de Octubre. Madrid. España.

Correspondence: D Recio. E-mail: dvd.recio@gmail.com

Reference of this article: Recio Arcauz D, Carabaño Aguado I, Aguirre Pascual E, Pérez de Diego E, Huget Rodríguez B, Salcedo Lobato E, et al. Liver disease after Fontan procedure. Rev Pediatr Aten Primaria. 2020;22:185-8.

Published in Internet: 12-06-2020 - Visits: 9039

Abstract

Liver disease related to Fontan’s surgery is a structural and functional liver disease after performing the Fontan procedure. As in other liver diseases, the course can be progressive, potentially leading to the appearance of complications, such as cirrhosis, ascites, esophageal varices or encephalopathy. Its origin is not inflammatory, but congestive. Among the complementary tests, the Doppler ultrasound, elastography and liver biopsy stand out. Its treatment is multidisciplinary, and includes optimizing cardiac function, prevention and management of liver complications, and prevention of fatty liver disease.

Keywords

Cardiac surgery Fontan Liver

 

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