Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-23T10:38:23.052Z Has data issue: false hasContentIssue false

A rare cause of persisting anaemia in a patient with a failing Fontan circulation

Published online by Cambridge University Press:  20 September 2016

Loes Lambrecht
Affiliation:
Department of Pediatrics, University Hospitals Leuven, Leuven, Belgium
Bjorn Cools
Affiliation:
Department of Pediatric and Congenital Cardiology, University Hospitals Leuven, Leuven, Belgium
Peter Witters*
Affiliation:
Department of Pediatric Gastroenterology, University Hospitals Leuven, Leuven, Belgium
*
Correspondence to: P. Witters, MD, PhD, Department of Pediatric Gastroenterology, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium. Tel: +3216 343840; Fax: +3216 343842; E-mail: [email protected]

Abstract

This case report describes intestinal angiodysplasias as a cause of persisting anaemia in a 16-year-old girl with a failing Fontan circulation. Although this is a very rare cause of anaemia, we highlight the importance of video capsule endoscopy in such patients to initiate a life-saving treatment.

Type
Images in Congenital Cardiac Disease
Copyright
© Cambridge University Press 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Rychik, J, Gui-Yang, S. Relation of mesenteric vascular resistance after Fontan operation and protein-losing enteropathy. Am J Cardiol 2002; 90: 25842585.Google Scholar
2. Sonali Magdo, H, Stillwell, TL, Greenhawt, MJ, et al. Immune abnormalities in Fontan protein losing enteropathy: a case-control study. J Pediatr 2015; 167: 331337.Google Scholar
3. Amodeo, A, Marino, B. Pulmonary arteriovenous fistulas in patients with left isomerism and cardiac malformations. Cardiol Young 1998; 8: 283284.Google Scholar
4. Heyde, EC. Gastrointestinal bleeding in aortic stenosis. N Eng J Med 1958; 259: 196.Google Scholar