The Incidence of Malnutrition Following the Fontan Surgery

Sekhon, Rupinder; Kantor, Paul F; Foshaug, Rae; Mansukhani, Gitanjali P.; Mackie, Andrew S.; Hollander, Seth A.; Lewis, K.L.; Conway, James J.

doi:10.1016/j.cjca.2020.07.075

Cited by 1 publication

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“…Malnutrition is common in Fontan patients, especially in patients with protein-losing enteropathy. 4,5 Malnutrition pre-operatively has been associated with increased risk of postoperative infection in children, including those with single ventricle CHD undergoing Fontan surgery. 6 Although malnutrition has not been associated with post-HT survival in children with CHD, the effect on post-HT infection has not been well described.…”

Section: In the Article "Increased Risk Of Infections In Pediatric Fo...mentioning

confidence: 99%

“…Other potential confounders include the impact of pre‐HT nutrition and frailty in the Fontan population. Malnutrition is common in Fontan patients, especially in patients with protein‐losing enteropathy 4,5 . Malnutrition pre‐operatively has been associated with increased risk of postoperative infection in children, including those with single ventricle CHD undergoing Fontan surgery 6 .…”

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confidence: 99%

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The association of lymphopenia and post‐transplant infection in children: Is it time to change induction in Fontan heart transplant recipients?

Simpson

2022

Pediatric Transplantation

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The Fontan population remains challenging, but a multi-facetted approach to risk factor analysis in research and at bedside offers the best chance to understanding the weight of pre-HT characteristics on post-HT outcomes. The temptation to uniformly reduce induction therapy for Fontan patients must be tempered by the potential for increased rejection risk which also carries known increased risk for subsequent rejection, graft dysfunction, graft loss, and coronary vasculopathy. Recognizing and addressing any modifiable factors pre-HT while also increasing post-HT surveillance will hopefully lead to improved Fontan patient post-HT outcomes over time.

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Section: In the Article "Increased Risk Of Infections In Pediatric Fo...mentioning

confidence: 99%

mentioning

confidence: 99%