ALB and Protein-losing enteropathy: Protein losing enteropathy following the Fontan procedure is managed by dietary modifications (high protein and high-medium chain triglycerides), afterload reducing agents, ionotropic agents, heparin, albumin infusions, octreotide, prednisone, creation of atrial fenestration, if required Fontan revision or conversion to a different form, and in refractory cases, cardiac transplantation.[17]