Decompression of thoracic duct: new approach for the treatment of failing Fontan. Ann Thorac Surg 2013 Aug;96(2):709-11
Date
08/06/2013Pubmed ID
23910125DOI
10.1016/j.athoracsur.2013.02.046Scopus ID
2-s2.0-84881154057 (requires institutional sign-in at Scopus site) 66 CitationsAbstract
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 VAuthor
Viktor Hraska MD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
ChildDecompression, Surgical
Female
Fontan Procedure
Humans
Infant, Newborn
Male
Thoracic Duct
Treatment Failure