Post-Operative Chylothorax in Children Undergoing Congenital Heart Surgery

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2021 Apr 16

PMID 33859882

Citations 6

Authors

Mehnaz Atiq Ahmed Sr

Affiliations

Soon will be listed here.

Abstract

Chylothorax is a rare postoperative complication of congenital heart surgery. It has high morbidity with increased hospital stay and cost of treatment. Damage to the thoracic duct, disruption of accessory lymphatic vessels, and increased venous pressure exceeding that in the thoracic duct have been proposed as the possible causes of chylothorax after surgery for congenital heart disease. Prompt diagnose with early initiation of treatment will reduce the duration of drainage. Staged treatment is the general principle in managing this serious complication. Loss of chyle leads to volume, nutritional and electrolyte depletion, immunological deficiencies and hematological complications. Identifying the underlying cause and addressing it is crucial to definitive management.

Citing Articles

Risk Factors of Chylothorax After Congenital Heart Surgery in Infants: A Single-Centre Retrospective Study.

Zhang R, Liu Y, Yao Z, Fang J, Li Y, Zheng M Ther Clin Risk Manag. 2024; 20:161-168.

PMID: 38476881 PMC: 10929254. DOI: 10.2147/TCRM.S436991.

Lymphoscintigraphy Findings are Associated with Outcome in Children with Chylothorax After Cardiac Surgery.

Suzuki S, Kodama Y, Kuraoka A, Hara T, Ishikawa Y, Nakano T Pediatr Cardiol. 2023; 45(1):150-155.

PMID: 37870602 DOI: 10.1007/s00246-023-03303-w.

Chylothorax After Heart Surgery in Children.

Bauer J, Hocama N, Traub A, Rutes G, Fachi M, Moraes J Pediatr Cardiol. 2023; 44(8):1847-1855.

PMID: 37561171 DOI: 10.1007/s00246-023-03250-6.

Incidence, Risk Factors and Effective Treatment Strategies for Chylothorax After Pediatric Heart Surgeries: Retrospective Analysis of Large Database in Single Institution.

Shahzad M, Alheraish Y, Beheri R, Algethami B, Machado P, Mohamed G J Saudi Heart Assoc. 2023; 35(2):169-176.

PMID: 37465617 PMC: 10351867. DOI: 10.37616/2212-5043.1341.

Lymphatic anomalies in congenital heart disease.

Ramirez-Suarez K, Tierradentro-Garcia L, Biko D, Otero H, White A, Dori Y Pediatr Radiol. 2022; 52(10):1862-1876.

PMID: 35840695 DOI: 10.1007/s00247-022-05449-w.

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