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Post-Operative Chylothorax in Children Undergoing Congenital Heart Surgery
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...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Cureus
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8038894/ https://www.ncbi.nlm.nih.gov/pubmed/33859882 http://dx.doi.org/10.7759/cureus.13811 |
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author | Ahmed, Mehnaz Atiq |
author_facet | Ahmed, Mehnaz Atiq |
author_sort | Ahmed, Mehnaz Atiq |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8038894 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-80388942021-04-14 Post-Operative Chylothorax in Children Undergoing Congenital Heart Surgery Ahmed, Mehnaz Atiq Cureus Cardiac/Thoracic/Vascular Surgery 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. Cureus 2021-03-10 /pmc/articles/PMC8038894/ /pubmed/33859882 http://dx.doi.org/10.7759/cureus.13811 Text en Copyright © 2021, Ahmed et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiac/Thoracic/Vascular Surgery Ahmed, Mehnaz Atiq Post-Operative Chylothorax in Children Undergoing Congenital Heart Surgery |
title | Post-Operative Chylothorax in Children Undergoing Congenital Heart Surgery |
title_full | Post-Operative Chylothorax in Children Undergoing Congenital Heart Surgery |
title_fullStr | Post-Operative Chylothorax in Children Undergoing Congenital Heart Surgery |
title_full_unstemmed | Post-Operative Chylothorax in Children Undergoing Congenital Heart Surgery |
title_short | Post-Operative Chylothorax in Children Undergoing Congenital Heart Surgery |
title_sort | post-operative chylothorax in children undergoing congenital heart surgery |
topic | Cardiac/Thoracic/Vascular Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8038894/ https://www.ncbi.nlm.nih.gov/pubmed/33859882 http://dx.doi.org/10.7759/cureus.13811 |
work_keys_str_mv | AT ahmedmehnazatiq postoperativechylothoraxinchildrenundergoingcongenitalheartsurgery |