GET THE APP

Impact of chylothorax on the early post operative outcome after p | 31192
Pediatrics & Therapeutics

Pediatrics & Therapeutics
Open Access

ISSN: 2161-0665

+44 1478 350008

Impact of chylothorax on the early post operative outcome after pediatric cardiovascular surgery


4th International Conference on Pediatrics & Pediatric Emergency Medicine

March 29-31, 2016 Atlanta, Georgia, USA

Sameh R Ismail, Mohamed S Kabbani, Hani K Najm, Ghassan A Shaath, Abdulraouf M Z Jijeh, Omar M Hijazi and Elbarbary Mahmoud

King Abdulaziz Medical City-Riyadh - KSA

Posters & Accepted Abstracts: Pediat Therapeut

Abstract :

Background & Aim: Chylothorax is the accumulation of chyle in the pleural cavity, usually develops after disruption of the thoracic duct along its intra-thoracic route. In the majority of cases this rupture is secondary to trauma (including cardio thoracic surgeries). Chylothorax is a potentially serious complication after cardiovascular surgeries that require early diagnosis and adequate management. The study aim is to determine the risk factors and the impact of chylothorax on the early post operative course after pediatric cardiac surgery. Methods: A retrospective study of all cases complicated with chylothorax after pediatric cardiac surgery at King Abdulaziz Cardiac Center between January 2007 and December 2009 was conducted. Results: We have 1135 cases operated during the study period, 57 cases (5%) were complicated with chylothorax in the post operative period and 30 patients (54%) were males, while 27 cases (47%) were females, the age ranged from 4 days to 2759 days. The most common surgeries complicated with chylothorax were the single ventricle repair surgeries 15 cases (27%), the arch repair 10 cases (18%), the ventricular septal defect repair 10 cases (18%), the atrioventricular septal defect repair 7 cases (12%), the arterial switch repair 6 cases (11%) and others 8 cases (14%). The ICU stay and the length of hospital stay were significantly longer in the chylothorax group; also some of the early post operative parameters like the incidence of sepsis, ventilation time, inotropes duration and number were higher in the chylothorax group. Conclusion: Chylothorax after pediatric cardiac surgery is not an uncommon complication, it occurs more commonly with single ventricle repair and aortic arch repair surgeries and it has a significant impact on the post-operative course and postoperative morbidity.

Biography :

Email: samis93@gmail.com

Top