Occlusion Pressure of the Thoracic Duct in Fontan Patients With Lymphatic Failure: Does Dilatation Challenge Contractility?
Jill J SavlaBenjamin KellyEmil KroghChristopher L SmithGanesh KrishnamurthyAndrew C GlatzAaron G DeWittErin M PintoChitra RavishankarMatthew J GillespieMichael L O'ByrneFernando A EscobarJonathan J RomeVibeke HjortdalYoav DoriPublished in: World journal for pediatric & congenital heart surgery (2022)
Higher central venous pressures are associated with increasing diameters of the thoracic duct. When challenged by manual occlusion, dilated thoracic ducts display a decreased ability to increase pressure. Dilatation and a resulting decreased contractility may partly explain the challenged lymphatic system in individuals with a Fontan circulation.
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