Patients With Systemic Right Ventricle Are at Higher Risk of Chylothorax After Cavopulmonary Connections
Jerome Soquet, Hani N Mufti, Bryn Jones, Igor E Konstantinov, Johann Brink, Christian P Brizard, Yves d'Udekem
ANNALS OF THORACIC SURGERY | ELSEVIER SCIENCE INC | Published : 2018
BACKGROUND: Chylothorax is a rare but severe complication after pediatric cardiac surgical procedures and is related to significant morbidity and mortality. It is suspected to be more frequent after single-ventricle staged palliation procedures, but focused studies on chylothorax in patients with univentricular heart physiology are scarce. METHODS: From January 2008 to December 2016, a total of 289 patients underwent 376 cavopulmonary connection (CPC) procedures over 9 years (superior cavopulmonary connection [SCPC], 199; Fontan completion, 177). Patients were classified according to whether they had a chylothorax (group 1) or not (group 2). Chylothorax was confirmed on a pleural fluid test...View full abstract
Dr d'Udekem is a National Health and Medical Research Council Clinical Practitioner Fellow (1082186). The Victorian Government's Operational Infrastructure Support Program supported this research project.