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A 10-year-old girl presented with a history of having loose stools and generalised swelling for a 1-month period. She had complex congenital cyanotic heart disease—double outlet right ventricle with anatomy unsuitable for two-ventricle repair. She had undergone Fontan surgery 3 years previously. Fontan completion was staged after pulmonary artery (PA) banding and bidirectional Glenn surgery. Her laboratory parameters showed hypoproteinemia with hypocalcaemia (serum protein 3.4 gm/dL, serum albumin 1.3 gm/dL, serum calcium 5.6 mg/dL). The patient's clinical condition was highly suggestive of a particular syndrome and she was …
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