Chylothorax in a young child after a palliative cardiac surgery

被引:2
作者
Taksande, Amar [1 ]
Injeti, Gnanvelu [1 ]
Joshi, Maithali [1 ]
Meshram, Rewat [1 ]
机构
[1] Jawaharlal Nehru Med Coll, Datta Meghe Inst Med Sci, Dept Pediat, Wardha 442004, Maharashtra, India
关键词
Breathlessness; chylothorax; congenital heart disease; thoracic duct;
D O I
10.4103/IJAM.IJAM_90_20
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Chylothorax is an unusual complication in children. It is diagnosed by demonstrating high triglyceride content in the pleural fluid and a low cholesterol concentration in relation to the serum cholesterol. While undergoing cardiothoracic surgery, damage to the thoracic duct may take place which is one of the leading causes of chylothorax. Here, we present a case of chylothorax in a 10-year-old boy who was operated for cyanotic congenital heart disease. He was managed for resolution of chylothorax with various measures such as dietary management, intercostal drainage tube, drugs, and respiratory exercises. The following core competencies are addressed in this article: Practice-Based Learning and Improvement, Patient care and Procedural skills.
引用
收藏
页码:320 / 323
页数:4
相关论文
共 10 条
[1]   Diaphragmatic fenestration for refractory chylothorax after congenital cardiac surgery in infants [J].
Kumar, T. K. Susheel ;
Balduf, Kaitlin ;
Boston, Umar ;
Knott-Craig, Christopher .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2017, 154 (06) :2062-2068
[2]  
MACFARLANE JR, 1972, AM REV RESPIR DIS, V105, P287
[3]  
Oak SN, 1991, J POSTGRAD MED, V37, p[222B, 223]
[4]   Sirolimus Ameliorated Post Lung Transplant Chylothorax in Lymphangioleiomyomatosis [J].
Ohara, Toshiaki ;
Oto, Takahiro ;
Miyoshi, Kentaro ;
Tao, Hiroyuki ;
Yamane, Masaomi ;
Toyooka, Shinichi ;
Okazaki, Megumi ;
Date, Hiroshi ;
Sano, Yoshifumi .
ANNALS OF THORACIC SURGERY, 2008, 86 (06) :E7-E8
[5]   Post-operative chylothorax in children: An evidence-based management algorithm [J].
Panthongviriyakul, Charnchai ;
Bines, Julie E. .
JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 2008, 44 (12) :716-721
[6]   Video-assisted thoracoscopy as an option in the surgical treatment of chylothorax after cardiac surgery in children [J].
Pego-Fernandes, Paulo Manuel ;
Nascimbem, Mauro Boldrini ;
Ranzani, Otavio T. ;
Shimoda, Monica Satsuki ;
Monteiro, Rosangela ;
Jatene, Fabio Biscegli .
JORNAL BRASILEIRO DE PNEUMOLOGIA, 2011, 37 (01) :28-35
[7]   Octreotide to treat postoperative chylothorax after cardiac operations in children [J].
Pratap, U ;
Slavik, Z ;
Ofoe, VD ;
Onuzo, O ;
Franklin, RCG .
ANNALS OF THORACIC SURGERY, 2001, 72 (05) :1740-1742
[8]  
Rawat JD, 2017, J CLIN NEONATOL, V6, P205, DOI 10.4103/jcn.JCN_42_17
[9]   Chylothorax in children with cancer: A milky predicament [J].
Totadri, Sidharth ;
Trehan, Amite ;
Bhattacharya, Anish ;
Bansal, Deepak ;
Attri, Savita Verma ;
Srinivasan, Radhika .
INDIAN JOURNAL OF CANCER, 2017, 54 (04) :691-694
[10]   Chylothorax after surgery for congenital heart disease [J].
Zuluaga, Maria T. .
CURRENT OPINION IN PEDIATRICS, 2012, 24 (03) :291-294