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Patients With Systemic Right Ventricle Are at Higher Risk of Chylothorax After Cavopulmonary Connections

Tuesday, November 20, 2018

Submitted by

Claire Vernon

Source

Source Name: The Annals of Thoracic Surgery

Source URL: https://doi.org/10.1016/j.athoracsur.2018.06.077

Author(s)

Jerome Soquet, Hani N. Mufti, Bryn Jones, Igor E. Konstantinov, Johann Brink, Christian P. Brizard, Yves d’Udekem

Soquet and colleagues reviewed records from 289 pediatric patients who underwent 376 cavopulmonary connection (CPC) procedures to determine the incidence and associated complications of chylothorax following these procedures. The authors found that the incidence of postoperative chylothorax was high in these patients (19.7%), and they confirmed that chylothorax was indicative of a worse postoperative course. The presence of a systemic right ventricle was a risk factor for chylothorax (odds ratio 2.49).