Özet:

Postoperative chylothorax commonly occurs following surgical repair of congenital heart disease. Chylothorax is one of the main reasons of lengthened hospitalization, morbidity and mortality amongst particularly children with single ventricle physiology. Apart from laceration of ductus thoracicus and accessory lymphatics, Fontan procedure in which systemic venous pressure exceeds thoracic ductus pressure may lead to chylothorax. Conservative therapy with diet modification and octreotide has been accepted as standard therapy of postoperative chylothorax. Here, we report a case of chylothorax arising secondary to Fontan procedure, and treated curatively with octreotide. Conclusion; chylothorax must be considered, especially in children with pleural effusion occurring after cavapulmonary anastamosis, and the octreotide should be added to conservative therapy to reduce the necessity for surgical management of chylothorax

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