Treatment of chylothorax developing after congenital heart disease surgery: A case report

Chylothorax is defined as the accumulation of lymphatic fluid or chyle in the pleural space. Chylothorax treatment is composed of conservative; pleural drainage, termination of enteral feeding, total parenteral nutrition and supplementation with medium- chain triglycerides and surgical therapies; ductus thoracicus ligation, pleuroperitoneal shunts or pleuredesis. Nowadays, for cases among which conservative therapies fail, treatment with octreotide has been reported to be beneficial with promising results. A neonate with chylothorax developing after surgery for congenital heart disease was treated successfully with octreotide.

Konjenital kalp hastalýðý cerrahisi sonrasý geliþen þilotoraks tedavisi: Olgu sunumu

Þilotoraks, plevral boþlukta lenfatik sývýnýn veya þilöz karakterde mayinin birikmesidir. Þilotoraks tedavisinde plevral drenaj, enteral beslenmenin kesilmesi, total parenteral nutrisyon, orta zincirli trigliserid ile beslenme gibi konservatif yaklaþýmlar ve duktus torasikus ligasyonu, pleuro-peritoneal þant veya plörodesis gibi cerrahi yöntemler kullanýlmaktadýr. Günümüzde konservatif yaklaþýmlarla sonuç alýnamayan olgularda, oktreotid tedavisi ile baþarýlý sonuçlar bildirilmektedir. Konjenital kalp hastalýðý nedeni ile cerrahi iþlem sonrasý þilotoraks geliþen ve intravenöz oktreotid verilerek baþarý ile tedavi edilen bir olgu sunuldu.