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High-altitude precipitation and exacerbation of protein-losing enteropathy after a Fontan operation.

Published online by Cambridge University Press:  15 August 2006

Colin J. McMahon ,
John M. Hicks  and
William J. Dreyer
Colin J. McMahon
Affiliation:
Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Houston, Texas, USA
John M. Hicks
Affiliation:
Department of Pathology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas, USA
William J. Dreyer
Affiliation:
Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Houston, Texas, USA
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Abstract

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We describe the development and exacerbation of protein-losing enteropathy after relocating to an environment at an altitude of 3695 feet in El Paso, Texas, in a patient who had undergone a Fontan operation. This report should heighten awareness to the possibility of such patients developing protein-losing enteropathy at high-altitude, with hypoxemia-induced pulmonary vasoconstriction, and subsequent elevation of central venous pressure, the most likely underlying mechanism.

Keywords

Protein-losing enteropathyFontan operationhigh-altitude
Type
Brief Report
Information
Cardiology in the Young , Volume 11 , Issue 2 , March 2001 , pp. 225 - 228
Copyright
2001 Cambridge University Press