AI Article Synopsis
- - Chylothorax is a serious complication after the Fontan procedure, leading to potential health issues like nutritional depletion and fluid loss, as shown in a case study of a six-year-old girl with complex congenital heart defects.
- - The patient presented with symptoms like fever and cough, and imaging revealed bilateral pleural effusion, which was confirmed to be chylothorax through fluid analysis.
- - Successful treatment involved a procedure to embolize the leaking thoracic duct, which resolved her effusion and stabilized her condition, allowing for her discharge with necessary follow-up care.
Article Abstract
Chylothorax is a severe complication following the Fontan procedure, causing significant morbidity and mortality due to nutritional depletion and fluid loss. We present a case involving a six-year-old girl with tricuspid atresia, atrial septal defect (ASD), ventricular septal defect (VSD), and severe pulmonary stenosis (PS), presenting with fever, non-productive cough, and increased work of breathing. Cyanosis was noted, improving with oxygen. Imaging revealed bilateral pleural effusion, with pleural fluid analysis confirming chylothorax. Despite normal laboratory reports, retrograde transvenous lymphangiography indicated thoracic duct leakage. The patient underwent successful thoracic duct embolization, resulting in the resolution of the effusion and stabilization of her condition. She was discharged in a stable state, with follow-up care.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11272409 | PMC |
| http://dx.doi.org/10.7759/cureus.63005 | DOI Listing |
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