Postoperative chylothorax: Differences between patients who received median sternotomy or lateral thoracotomy for congenital heart disease

Jing-Ming Wu, Chih Ta Yao, Chung-Dann Kan, Cheng Nan Yeh, Yu Ren Yang, Jieh-Neng Wang

研究成果: Article

7 引文 (Scopus)

摘要

Background: Chylothorax after surgery for congenital heart disease is rare. We wanted to compare the different presentations of chylothorax in patients who received median sternotomy or lateral thoracotomy. Patients and Methods: We retrospectively studied pediatric patients with congenital heart disease who received palliative or corrective surgeries and developed postoperative chylothorax between January 1992 and July 2003. Patients were divided into two groups by the type of surgery: median sternotomy and lateral thoracotomy. The average daily fluid amount (mL/kg/24 hours), latency period, duration of chylothorax, and requirement for surgery were compared. Results: Seventeen patients (11 boys, 6 girls; mean age, 14.0 ± 12.8-month-old) were enrolled. Diagnoses were tetralogy of Fallot (n = 8), right isomerism with complex heart defects (n = 3), patent ductus arteriosus (n = 2), transposition of the great artery (n = 1), ventricular septal defect (n = 1), and endocardial cushion defect (n = 2). There were 9 in the lateral thoracotomy group and 8 in the median sternotomy group. Only one patient required surgery because of the failure of conservative treatment. The lateral thoracotomy group had a significantly lower average body weight (6.9 ± 2.9 kg vs. 11.0 ± 3.8 kg) and longer average latency period before postoperative chylothorax (15.1 ± 9.2 days vs. 7.2 ± 4.7 days). Conclusion: The majority of pediatric patients who develop chylothorax after cardiac surgery can be successfully managed by medical treatment only. To avoid complications in pediatric patients after cardiac surgery, chylothorax should be suspected for patients with unexplainable, prolonged, and abundant pleural effusion.

原文English
頁(從 - 到)249-253
頁數5
期刊Journal of Cardiac Surgery
21
發行號3
DOIs
出版狀態Published - 2006 五月 1

指紋

Chylothorax
Sternotomy
Thoracotomy
Heart Diseases
Pediatrics
Thoracic Surgery
Endocardial Cushion Defects
Isomerism
Transposition of Great Vessels
Patent Ductus Arteriosus
Tetralogy of Fallot
Ventricular Heart Septal Defects
Pleural Effusion
Body Weight

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

引用此文

@article{1fbea4b04525486fb78690c38ba65a40,
title = "Postoperative chylothorax: Differences between patients who received median sternotomy or lateral thoracotomy for congenital heart disease",
abstract = "Background: Chylothorax after surgery for congenital heart disease is rare. We wanted to compare the different presentations of chylothorax in patients who received median sternotomy or lateral thoracotomy. Patients and Methods: We retrospectively studied pediatric patients with congenital heart disease who received palliative or corrective surgeries and developed postoperative chylothorax between January 1992 and July 2003. Patients were divided into two groups by the type of surgery: median sternotomy and lateral thoracotomy. The average daily fluid amount (mL/kg/24 hours), latency period, duration of chylothorax, and requirement for surgery were compared. Results: Seventeen patients (11 boys, 6 girls; mean age, 14.0 ± 12.8-month-old) were enrolled. Diagnoses were tetralogy of Fallot (n = 8), right isomerism with complex heart defects (n = 3), patent ductus arteriosus (n = 2), transposition of the great artery (n = 1), ventricular septal defect (n = 1), and endocardial cushion defect (n = 2). There were 9 in the lateral thoracotomy group and 8 in the median sternotomy group. Only one patient required surgery because of the failure of conservative treatment. The lateral thoracotomy group had a significantly lower average body weight (6.9 ± 2.9 kg vs. 11.0 ± 3.8 kg) and longer average latency period before postoperative chylothorax (15.1 ± 9.2 days vs. 7.2 ± 4.7 days). Conclusion: The majority of pediatric patients who develop chylothorax after cardiac surgery can be successfully managed by medical treatment only. To avoid complications in pediatric patients after cardiac surgery, chylothorax should be suspected for patients with unexplainable, prolonged, and abundant pleural effusion.",
author = "Jing-Ming Wu and Yao, {Chih Ta} and Chung-Dann Kan and Yeh, {Cheng Nan} and Yang, {Yu Ren} and Jieh-Neng Wang",
year = "2006",
month = "5",
day = "1",
doi = "10.1111/j.1540-8191.2006.00225.x",
language = "English",
volume = "21",
pages = "249--253",
journal = "Journal of Cardiac Surgery",
issn = "0886-0440",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Postoperative chylothorax

T2 - Differences between patients who received median sternotomy or lateral thoracotomy for congenital heart disease

AU - Wu, Jing-Ming

AU - Yao, Chih Ta

AU - Kan, Chung-Dann

AU - Yeh, Cheng Nan

AU - Yang, Yu Ren

AU - Wang, Jieh-Neng

PY - 2006/5/1

Y1 - 2006/5/1

N2 - Background: Chylothorax after surgery for congenital heart disease is rare. We wanted to compare the different presentations of chylothorax in patients who received median sternotomy or lateral thoracotomy. Patients and Methods: We retrospectively studied pediatric patients with congenital heart disease who received palliative or corrective surgeries and developed postoperative chylothorax between January 1992 and July 2003. Patients were divided into two groups by the type of surgery: median sternotomy and lateral thoracotomy. The average daily fluid amount (mL/kg/24 hours), latency period, duration of chylothorax, and requirement for surgery were compared. Results: Seventeen patients (11 boys, 6 girls; mean age, 14.0 ± 12.8-month-old) were enrolled. Diagnoses were tetralogy of Fallot (n = 8), right isomerism with complex heart defects (n = 3), patent ductus arteriosus (n = 2), transposition of the great artery (n = 1), ventricular septal defect (n = 1), and endocardial cushion defect (n = 2). There were 9 in the lateral thoracotomy group and 8 in the median sternotomy group. Only one patient required surgery because of the failure of conservative treatment. The lateral thoracotomy group had a significantly lower average body weight (6.9 ± 2.9 kg vs. 11.0 ± 3.8 kg) and longer average latency period before postoperative chylothorax (15.1 ± 9.2 days vs. 7.2 ± 4.7 days). Conclusion: The majority of pediatric patients who develop chylothorax after cardiac surgery can be successfully managed by medical treatment only. To avoid complications in pediatric patients after cardiac surgery, chylothorax should be suspected for patients with unexplainable, prolonged, and abundant pleural effusion.

AB - Background: Chylothorax after surgery for congenital heart disease is rare. We wanted to compare the different presentations of chylothorax in patients who received median sternotomy or lateral thoracotomy. Patients and Methods: We retrospectively studied pediatric patients with congenital heart disease who received palliative or corrective surgeries and developed postoperative chylothorax between January 1992 and July 2003. Patients were divided into two groups by the type of surgery: median sternotomy and lateral thoracotomy. The average daily fluid amount (mL/kg/24 hours), latency period, duration of chylothorax, and requirement for surgery were compared. Results: Seventeen patients (11 boys, 6 girls; mean age, 14.0 ± 12.8-month-old) were enrolled. Diagnoses were tetralogy of Fallot (n = 8), right isomerism with complex heart defects (n = 3), patent ductus arteriosus (n = 2), transposition of the great artery (n = 1), ventricular septal defect (n = 1), and endocardial cushion defect (n = 2). There were 9 in the lateral thoracotomy group and 8 in the median sternotomy group. Only one patient required surgery because of the failure of conservative treatment. The lateral thoracotomy group had a significantly lower average body weight (6.9 ± 2.9 kg vs. 11.0 ± 3.8 kg) and longer average latency period before postoperative chylothorax (15.1 ± 9.2 days vs. 7.2 ± 4.7 days). Conclusion: The majority of pediatric patients who develop chylothorax after cardiac surgery can be successfully managed by medical treatment only. To avoid complications in pediatric patients after cardiac surgery, chylothorax should be suspected for patients with unexplainable, prolonged, and abundant pleural effusion.

UR - http://www.scopus.com/inward/record.url?scp=33646258043&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33646258043&partnerID=8YFLogxK

U2 - 10.1111/j.1540-8191.2006.00225.x

DO - 10.1111/j.1540-8191.2006.00225.x

M3 - Article

C2 - 16684052

AN - SCOPUS:33646258043

VL - 21

SP - 249

EP - 253

JO - Journal of Cardiac Surgery

JF - Journal of Cardiac Surgery

SN - 0886-0440

IS - 3

ER -