Related Experiment Video

Updated: Jul 17, 2025

Implantation of Total Artificial Heart in Congenital Heart Disease
07:27

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 18, 2014

24.7K

Risk factors and early outcomes of chylothorax following congenital cardiac surgery: A single-center experience

Emine Hekim Yılmaz1, Oktay Korun2, Murat Çiçek3

  • 1Department of Pediatric Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Türkiye.

Turk Gogus Kalp Damar Cerrahisi Dergisi
|September 4, 2023
PubMed

Insights

Chylothorax affects 7.4% of patients after congenital heart surgery, leading to longer hospital stays and higher infection rates. Younger age, infections, and peritoneal dialysis are key risk factors, but mortality is not significantly increased.

Area of Science:

  • Pediatric Cardiology
  • Thoracic Surgery
  • Critical Care Medicine

Background:

  • Chylothorax is a known complication following congenital cardiac surgery.
  • Understanding its incidence and risk factors is crucial for improving patient outcomes.

Purpose of the Study:

  • To determine the incidence and risk factors of chylothorax in pediatric cardiac surgery patients.
  • To evaluate the impact of chylothorax on early postoperative outcomes.

Main Methods:

  • Retrospective analysis of 1,053 patients undergoing congenital heart disease surgery.
  • Identification of chylothorax cases and comparison with the general cohort.
  • Application of a standardized management protocol for diagnosed chylothorax.

Main Results:

  • Chylothorax occurred in 7.4% of patients (78/1,053).
  • Risk factors included younger age, peritoneal dialysis, preoperative ventilation, surgical complexity, and reoperations.
  • Chylothorax patients experienced longer ventilation times, higher re-intubation and infection rates, and prolonged hospital stays.

Conclusions:

  • Chylothorax significantly increases morbidity, including prolonged hospitalization and infection risk, in pediatric cardiac surgery patients.
  • Early-age complex cardiac pathologies and reoperations are identified as significant risk factors.
  • Standardizing management protocols may improve outcomes despite the lack of a universal therapeutic consensus.
Abstract

Keywords:
Chylothoraxcongenital cardiac surgerypostoperative complications.

More Related Videos

Implantation of the Syncardia Total Artificial Heart16:11

Implantation of the Syncardia Total Artificial Heart

Published on: July 18, 2014

35.3K
Transuterine Fetal Tracheal Occlusion Model in Mice06:31

Transuterine Fetal Tracheal Occlusion Model in Mice

Published on: February 5, 2021

3.1K

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
16
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
196
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
325
Imbalances in Cardiac Output01:26

Imbalances in Cardiac Output

The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.4K
Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
21
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
251