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Transplant-Amenable Hepatocellular Carcinoma in a Fontan Patient
The Fontan circulation alters a patient's physiology and imparts long-term risks related to chronically elevated systemic venous pressure. An increasing number of patients with Fontan physiology are surviving into adulthood and are at risk of hepatic sequalae. The ideal timeline and method of h...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639574/ https://www.ncbi.nlm.nih.gov/pubmed/31341459 http://dx.doi.org/10.1159/000501198 |
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author | Rutledge, Brian Patrick Devara, Anupama Benjaram, Sindhuri Judd, Stephanie Ehrinpreis, Murray |
author_facet | Rutledge, Brian Patrick Devara, Anupama Benjaram, Sindhuri Judd, Stephanie Ehrinpreis, Murray |
author_sort | Rutledge, Brian Patrick |
collection | PubMed |
description | The Fontan circulation alters a patient's physiology and imparts long-term risks related to chronically elevated systemic venous pressure. An increasing number of patients with Fontan physiology are surviving into adulthood and are at risk of hepatic sequalae. The ideal timeline and method of hepatic surveillance in the Fontan population remains to be defined. In this case, the patient was diagnosed with hepatocellular carcinoma more than 20 years after undergoing the Fontan procedure and was a candidate for combined heart-liver transplant. That her disease progressed prior to organ availability supports the argument for hepatic surveillance in this population. |
format | Online Article Text |
id | pubmed-6639574 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-66395742019-07-24 Transplant-Amenable Hepatocellular Carcinoma in a Fontan Patient Rutledge, Brian Patrick Devara, Anupama Benjaram, Sindhuri Judd, Stephanie Ehrinpreis, Murray Case Rep Gastroenterol Single Case The Fontan circulation alters a patient's physiology and imparts long-term risks related to chronically elevated systemic venous pressure. An increasing number of patients with Fontan physiology are surviving into adulthood and are at risk of hepatic sequalae. The ideal timeline and method of hepatic surveillance in the Fontan population remains to be defined. In this case, the patient was diagnosed with hepatocellular carcinoma more than 20 years after undergoing the Fontan procedure and was a candidate for combined heart-liver transplant. That her disease progressed prior to organ availability supports the argument for hepatic surveillance in this population. S. Karger AG 2019-06-26 /pmc/articles/PMC6639574/ /pubmed/31341459 http://dx.doi.org/10.1159/000501198 Text en Copyright © 2019 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. |
spellingShingle | Single Case Rutledge, Brian Patrick Devara, Anupama Benjaram, Sindhuri Judd, Stephanie Ehrinpreis, Murray Transplant-Amenable Hepatocellular Carcinoma in a Fontan Patient |
title | Transplant-Amenable Hepatocellular Carcinoma in a Fontan Patient |
title_full | Transplant-Amenable Hepatocellular Carcinoma in a Fontan Patient |
title_fullStr | Transplant-Amenable Hepatocellular Carcinoma in a Fontan Patient |
title_full_unstemmed | Transplant-Amenable Hepatocellular Carcinoma in a Fontan Patient |
title_short | Transplant-Amenable Hepatocellular Carcinoma in a Fontan Patient |
title_sort | transplant-amenable hepatocellular carcinoma in a fontan patient |
topic | Single Case |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639574/ https://www.ncbi.nlm.nih.gov/pubmed/31341459 http://dx.doi.org/10.1159/000501198 |
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