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Review
. 2018 Mar;71(3):192-202.
doi: 10.1016/j.rec.2017.10.052. Epub 2018 Feb 9.

Fontan-associated Liver Disease

[Article in English, Spanish]
Luis Téllez  1 , Enrique Rodríguez de Santiago  2 , Agustín Albillos  3
Affiliations
Review

Fontan-associated Liver Disease

[Article in English, Spanish]
Luis Téllez et al. Rev Esp Cardiol (Engl Ed). 2018 Mar.

Abstract

Fontan-associated liver disease refers to the disturbance in the liver secondary to hemodynamic changes and systemic venous congestion following Fontan surgery. Although the natural history of this disease has not yet been established, patients with more advanced liver injury develop the complications of portal hypertension, such as ascites, variceal haemorrhage, or encephalopathy. Moreover, patients with Fontan surgery may have an increased risk of hepatocellular carcinoma. Periodic liver monitoring is essential to prevent this disease and provide early treatment of liver complications.

Keywords: Cirugía de Fontan; Enfermedad hepática; Fontan failure; Fontan surgery; Fracaso del Fontan; Hepatocarcinoma; Hepatocellular carcinoma; Liver disease.

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