Medical College of Wisconsin
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Decompression of thoracic duct: new approach for the treatment of failing Fontan. Ann Thorac Surg 2013 Aug;96(2):709-11

Date

08/06/2013

Pubmed ID

23910125

DOI

10.1016/j.athoracsur.2013.02.046

Scopus ID

2-s2.0-84881154057 (requires institutional sign-in at Scopus site)   66 Citations

Abstract

In failing Fontan circulation, the elevated central venous pressure increases lymphatic production and simultaneously retards lymphatic return to the central venous system, thus unbalancing lymphatic homoeostasis. To improve lymphatic drainage, a new concept based on decompression of the thoracic duct to the lower pressure levels of the common atrium, with concomitant increase of preload, has been developed. The thoracic duct, which in the majority of patients enters the circulation at the left subclavia-jugular junction, is decompressed by diverting the innominate vein directly to the common atrium.

Author List

Hraška V

Author

Viktor Hraska MD Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Child
Decompression, Surgical
Female
Fontan Procedure
Humans
Infant, Newborn
Male
Thoracic Duct
Treatment Failure