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Ann Thorac Surg 2005;80:1870-1871
© 2005 The Society of Thoracic Surgeons

Original article: General thoracic

Invited commentary

Glenn J. Pelletier, MD

Department of Cardiothoracic Surgery, Drexel University College of Medicine, Section of Cardiothoracic Surgery, Saint Christopher's Hospital for Children, Erie Ave at Front St, Philadelphia, PA19134

(Email: gpelleti@drexelmed.edu).

The first 20% of the full text of this article appears below.

Chylothorax after repair of congenital heart defects is an infrequent complication, but one that can cause significant morbidity. One of the challenges of managing this complication, especially in neonates and small infants, is to maintain fluid, electrolyte, and nutritional homeostasis while trying to eliminate the lymphatic leak using therapies that are often lengthy. Chan and colleagues [1] in their relatively large, retrospective series report an incidence of 3.8% for chylothorax, which is comparable with other contemporary series. Treatment was determined by physician preference rather than a protocol that was later proposed. However, the median length of hospitalization for patients who had a postoperative chylothorax develop was 22 days compared with 8 days for patients without this complication. . . . [Full Text of this Article]




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S.-y. Chan, W. Lau, W. H.S. Wong, L.-c. Cheng, A. K.T. Chau, and Y.-f. Cheung
Chylothorax in Children After Congenital Heart Surgery
Ann. Thorac. Surg., November 1, 2006; 82(5): 1650 - 1656.
[Abstract] [Full Text] [PDF]


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