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Repair of aortic coarctation in neonates less than two kilograms.
Interdiscip Cardiovasc Thorac Surg
December 2024
Department of Cardiac Surgery, Bristol Royal Hospital for Children, University of Bristol, Bristol, UK.
Objectives: A significant number of low-birth-weight neonates are born with aortic coarctation. Previous studies of early operation on these patients have shown a high hospital mortality and recurrence at 1 year. We reviewed our data to ascertain whether modern approaches allow better outcomes for these children.
View Article and Find Full Text PDFNutritional, Metabolic, and Inflammatory Alterations in Children with Chylous Effusion in the Postoperative Period of Cardiac Surgery: A Descriptive Cohort.
Nutrients
November 2024
Medical Clinical Department, State University of Campinas (UNICAMP), Campinas 13083-970, Brazil.
Article Synopsis
- The study focuses on the rising occurrence of chylous effusion in children post-cardiac surgery, highlighting the need to understand the clinical profiles of affected patients.
- A retrospective analysis of 23 patients, mostly young (average age of 6 months) and often malnourished, revealed significant complications like lymphopenia and hypoalbuminemia at the time of diagnosis.
- The findings emphasize the importance of close clinical and laboratory monitoring post-surgery to detect early signs of chylous effusion and initiate prompt treatment to prevent adverse outcomes.
Bilateral chylothorax following papillary thyroid carcinoma with cervical lymph node dissection: Case report and comprehensive review of the literature.
Medicine (Baltimore)
November 2024
Department of Breast and Thyroid Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Rationale: This case analysis and literature review aim to identify the causes of bilateral chylothorax following thyroid cancer surgery, a rare yet serious complication.
Patient Concerns: We report 2 East Asian women who developed bilateral chylothorax after undergoing total thyroidectomy with neck lymph node dissection. Both patients presented with dyspnea and significant pleural effusion postoperatively.
Traumatic chylothorax: a case report, treatment options and an update of the literature.
AME Case Rep
September 2024
Department of Surgery, Maasstad Hospital, Rotterdam, the Netherlands.
Article Synopsis
- Chylothorax is a rare condition where lymphatic fluid leaks into the pleural space, often due to trauma, such as in a bicycle accident involving rib and spine fractures.
- A 60-something male patient experienced this after a biking accident, leading to surgery for a fractured vertebra and subsequent complications requiring a chest tube and extensive fluid management.
- Treatment involved dietary adjustments, surgical intervention to clip the thoracic duct, and ultimately resolved the chylous leakage over eight weeks.
Dasatinib-Induced Bilateral Chylothorax: A Case Report.
Cureus
September 2024
Internal Medicine, AdventHealth Waterman, Tavares, USA.
Article Synopsis
- Dasatinib is a medication used to treat Philadelphia-positive chronic myeloid leukemia (CML), but it can cause complications, one of which is chylothorax—a buildup of fluid in the chest.
- A case of a 79-year-old female who developed acute breathing issues while on dasatinib revealed bilateral chylothorax, leading to the conclusion that the medication was likely the cause, as no other risk factors were found.
- After stopping dasatinib and switching to bosutinib, along with a low-fat diet, the patient showed no recurrence of chylothorax six months later, highlighting the need for awareness and management strategies regarding this complication
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