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Diaphragmatic fenestration for resistant pleural effusions after univentricular repair
The Annals of Thoracic Surgery
|September 20, 2002
Insights
Bilateral diaphragmatic fenestrations effectively treated chronic pleural effusions in a child post-Fontan operation. This surgical approach offers a new option for managing effusions after total cavopulmonary connection.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pediatric Medicine
Background:
- Chronic pleural effusions are a potential complication following cardiac surgeries like the Fontan procedure.
- Managing persistent effusions after total cavopulmonary connection can be challenging.
Observation:
- A 12-year-old patient presented with persistent pleural effusions for 1.5 months after a fenestrated Fontan operation.
- The effusions significantly impacted the child's well-being and recovery.
Findings:
- Bilateral diaphragmatic fenestrations were performed on the patient.
- The procedure resulted in complete resolution of the chronic pleural effusions.
Implications:
- Diaphragmatic fenestration presents a viable alternative treatment for refractory pleural effusions post-total cavopulmonary connection.
- This minimally invasive technique may improve outcomes and reduce morbidity in pediatric cardiac surgery patients.
Abstract:
A 12-year-old child with chronic pleural effusions for a month and a half after a fenestrated Fontan operation underwent bilateral diaphragmatic fenestrations with complete relief. We suggest this approach as an alternative treatment for chronic pleural effusions that may ensue after total cavopulmonary connection.