Post Operative Chylothorax after Pediatric Cardiac Surgery

Authors

  • MK Hassan Assistant Professor, Cardiac Surgery, NICVD, Dhaka.
  • SN Hosain Associate Professor, Cardiac Surgery, NICVD, Dhaka.
  • KA Hasan Assistant Professor, Cardiac Surgery, NICVD, Dhaka.
  • NAK Ahsan Professor & Head of the Department of Cardiovascular Surgery, NICVD, Dhaka.
  • MMG Chowdhury Assistant Registrar, Cardiac Surgery, NICVD, Dhaka.

DOI:

https://doi.org/10.3329/bmj.v36i2.3610

Keywords:

pediatric cardiac surgery

Abstract

We reviewed the management of 6 cases of chylothorax (5 male, 1 female; 1-12 years old) following 500 cardiothoracic procedures during January 2004- December 2006 at National Institute of Cardiovascular Diseases, Dhaka.

Results: The surgical procedures preceding the occurrence of lymph leak included ligation of PDA in 3 patients (50%), modified Blalock-Taussig Shunt in 2 cases (33.33%), bidirectional Glenn shunt in 1 case (16.67%).

A protocol for management of postoperative chylothorax was applied for all patients. In this protocol, non-surgical management was always the first line of treatment for patients with postoperative chylothorax in the form of intercostal tube drainage and diet modification using either medium-chain triglycerides (MCT). All of our patients responded to conservative therapy.

Conclusions: Conservative management of postoperative chylothorax should be the first line of treatment in postoperative chylothorax either by MCT diet alone or (in case of failure) to be followed by TPN and complete bowel rest.  

DOI: 10.3329/bmj.v36i2.3610

Bangladesh Medical Journal 36(2) 2007 42-43

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How to Cite

Hassan, M., Hosain, S., Hasan, K., Ahsan, N., & Chowdhury, M. (2009). Post Operative Chylothorax after Pediatric Cardiac Surgery. Bangladesh Medical Journal, 36(2), 42–43. https://doi.org/10.3329/bmj.v36i2.3610

Issue

Vol. 36 No. 2 (2007)

Section

Original Articles