ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Irving L. Kron
Bradley M. Rodgers
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Rheuban, K. S.
Right arrow Articles by Rodgers, B. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rheuban, K. S.
Right arrow Articles by Rodgers, B. M.

Ann Thorac Surg 1992;53:85-87
© 1992 The Society of Thoracic Surgeons

Articles

Pleuroperitoneal shunts for refractory chylothorax after operation for congenital heart disease

Karen S. Rheuban, MD*, Irving L. Kron, MD, Martha A. Carpenter, MD, Howard P. Gutgesell, MD, Bradley M. Rodgers, MD

Departments of Pediatrics and Surgery, University of Virginia Health Sciences Center, Charlottesville, Virginia, USA

Accepted for publication July 17, 1991.

* Address reprint requests to Dr Rheuban, Department of Pediatrics, University of Virginia Health Sciences Center, Box 386, Charlottesville, VA 22908.

Between 1980 and 1990, 10 of 12 children with a symptomatic chylothorax after operation for congenital heart disease failed to respond to traditional medical therapy (thoracentesis, tube thoracostomy, low-fat diet). All 10 patients underwent placement of a pleuroperitoneal shunt, with complete resolution of the chylothorax in 9 patients (90%). Cardiac catheterization, performed before placement of the pleuroperitoneal shunt in 5 patients, demonstrated elevated right atrial pressure in all patients (range, 10 to 25 mm Hg). The pleuroperitoneal shunt functioned effectively in 4 patients with moderately elevated right atrial pressures (range, 10 to 16 mm Hg; median, 13.5 mm Hg) but not in 1 patient with a right atrial pressure of 25 mm Hg. Pleuroperitoneal shunting as treatment for chylothorax after operation for congenital heart disease is safe and effective, even in the face of moderate elevations in right atrial pressure.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
D. S. Nath, J. Savla, R. G. Khemani, D. P. Nussbaum, C. L. Greene, and W. J. Wells
Thoracic Duct Ligation for Persistent Chylothorax After Pediatric Cardiothoracic Surgery
Ann. Thorac. Surg., July 1, 2009; 88(1): 246 - 252.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovascular and Thoracic AnnalsHome page
V. Jitendra, D. B. Reddy, and M. P. N. Kumar
Management of Post-Fontan Chylothorax with Non-Valved Silastic Conduit
Asian Cardiovascular and Thoracic Annals, September 1, 2001; 9(3): 243 - 245.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. B. Wolff, M. L. Silen, E. R. Kokoska, and B. M. Rodgers
Treatment of refractory chylothorax with externalized pleuroperitoneal shunts in children
Ann. Thorac. Surg., September 1, 1999; 68(3): 1053 - 1057.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
V. P. Podzolkov, S. B. Zaetz, B. G. Alekyan, M. R. Chiaureli, I. A. Yurlov, and I. G. Chernikh
Surgical reinterventions after modified Fontan operations
Ann. Thorac. Surg., December 1, 1995; 60(suppl_3): S572 - S577.
[Abstract] [PDF]

Home page
 Asian Cardiovascular and Thoracic AnnalsHome page
H. R. Bin, C. S. Hsun, C. I. Sh, C. I. Chung, and H. S. Hsien
Chylothorax after Operation for Congenital Heart Disease
Asian Cardiovascular and Thoracic Annals, June 1, 1994; 2(2): 101 - 103.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. D. Graham, E. D. McGahren, C. G. Tribble, T. M. Daniel, and B. M. Rodgers
Use of video-assisted thoracic surgery in the treatment of chylothorax
Ann. Thorac. Surg., June 1, 1994; 57(6): 1507 - 1512.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1992 by The Society of Thoracic Surgeons.