ArticleThe journal of Tehran Heart Center2014
Incidence and etiology of chylothorax after congenital heart surgery in children.
Article in The journal of Tehran Heart Center, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- VATS thoracic duct clipping in post-CABG with chylothorax.Indian journal of thoracic and cardiovascular surgery · 2024Article
- Successful Thoracic Duct Embolization Following Fontan-Related Chylothorax in a Six-Year-Old Girl: A Case Report.Cureus · 2024Article
- Immunological characterization of pleural effusions in pediatric patients.Frontiers in immunology · 2024Article
- Chylothorax After Heart Surgery in Children.Pediatric cardiology · 2023Article
- Lymphatic Endothelial Cell Defects in Congenital Cardiac Patients With Postoperative Chylothorax.Journal of vascular anomalies · 2021Article
- Review
- Chylothorax after coronary artery bypass surgery. Report of a case and review of the literature.Journal of the Saudi Heart Association · 2020Article
- Managing adult Fontan patients: where do we stand?European respiratory review : an official journal of the European Respiratory Society · 2016Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChylothorax is a rare but serious postoperative condition with a high rate of morbidity and may lead to the mortality of children undergoing congenital heart disease (CHD) surgery. This study evaluated the specific surgical procedures associated with the higher risk of postoperative chylothorax.
methodsWe assessed 435 cases undergoing CHD surgery between April 2003 and May 2006. We detected postoperative chylothorax in 6 patients. The diagnosis of chylothorax was established based on the presence of an odorless fluid with the characteristic milky appearance of the fluid (except when the patients were fasting in the immediate postoperative period), a triglyceride level greater than 110 mg/dL or between 50 and 110 mg/dL with a pleural fluid white cell count greater than 1000, and more than 80% lymphocytes on differential when the pleural fluid was not chylous.
resultsOver a 37-month period, 435 (mean age = 51.6 months; 232 males) patients underwent various types of surgical procedures for CHD; 6 patients developed chylothorax after the Fontan operation; one patient died due to severe chylothorax; 3 patients were managed by nutritional modifications, diuretics, and thoracocentesis; and 2 patients required thoracic duct ligation. The Fisher exact test analysis showed a significant association between the Fontan operation and postoperative chylothorax (p value < 0.0001).
conclusionOur study showed a significant association between the Fontan surgery and chylothorax.
Indexed as
Identifiers
25861320PMC4389193W2401948257What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.