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Uncommon cause of late onset anasarca after cardiac surgery
  1. Chintan Bhatt1,
  2. S Radhakrishnan2,
  3. Anupama Nair2
  1. 1Fortis Escorts Heart Institute, New Delhi, India
  2. 2Department of Pediatric Cardiology, Fortis Escorts Heart Institute, New Delhi, India
  1. Correspondence to Dr Chintan Bhatt, Fortis Escorts Heart Institute, Okhla Road, New Delhi 110025, India; chintan18bhatt{at}

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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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