Postoperative Chylothorax in Neonates and Infants after Congenital Heart Disease Surgery-Current Aspects in Diagnosis and Treatment.
MCT
breast milk
chylothorax
congenital heart disease
low fat diet
nutrition
Journal
Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595
Informations de publication
Date de publication:
26 Apr 2022
26 Apr 2022
Historique:
received:
30
03
2022
revised:
22
04
2022
accepted:
24
04
2022
entrez:
14
5
2022
pubmed:
15
5
2022
medline:
18
5
2022
Statut:
epublish
Résumé
Postoperative chylothorax is a rare complication following cardiac surgery for congenital heart disease (CHD) in the pediatric population, including neonates and infants. Multiple mechanisms are involved in the development of postoperative chylous effusions, mainly the traumatic injury of lymphatic vessels, systemic venous obstruction and dysfunction of the right ventricle. In this review, we focus on the existing evidence regarding the definition and diagnosis of postoperative chylothorax in children with CHD, as well as current therapeutic approaches, both nutritional and interventional, for the management of these patients. As part of nutritional management, we specifically comment on the use of defatted human milk and its effect on both chylothorax resolution and patient growth. A consensus with regard to several key aspects of this potentially significant complication is warranted given its impact on the cost, morbidity and mortality of children with CHD.
Identifiants
pubmed: 35565771
pii: nu14091803
doi: 10.3390/nu14091803
pmc: PMC9104302
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Références
Ann Thorac Surg. 2013 Sep;96(3):930-6
pubmed: 23915583
Cardiol Young. 2018 Jun;28(6):816-825
pubmed: 29690945
World J Pediatr Congenit Heart Surg. 2018 May;9(3):333-343
pubmed: 29692230
Mayo Clin Proc. 2009 Feb;84(2):129-33
pubmed: 19181646
J Am Coll Cardiol. 2017 May 16;69(19):2410-2422
pubmed: 28494978
Nutr Clin Pract. 2018 Oct;33(5):667-670
pubmed: 29730893
J Pediatr. 1992 Apr;120(4 Pt 2):S56-61
pubmed: 1343204
Pediatr Cardiol. 2016 Aug;37(6):1072-7
pubmed: 27090650
Pediatr Surg Int. 2015 Dec;31(12):1133-7
pubmed: 26276425
Braz J Cardiovasc Surg. 2017 Sep-Oct;32(5):390-393
pubmed: 29211219
JPEN J Parenter Enteral Nutr. 2016 May;40(4):543-51
pubmed: 25560680
Pediatrics. 2013 Jan;131(1):e236-42
pubmed: 23230071
Clin Nutr ESPEN. 2020 Aug;38:19-27
pubmed: 32690156
J Cardiothorac Surg. 2010 Dec 13;5:127
pubmed: 21144029
Eur Respir J. 1997 May;10(5):1157-62
pubmed: 9163662
J Thorac Cardiovasc Surg. 2014 Feb;147(2):678-86.e1; discussion 685-6
pubmed: 24246545
Pediatr Int. 2022 Jan;64(1):e15043
pubmed: 34706149
Pediatr Cardiol. 2020 Jan;41(1):108-113
pubmed: 31729543
Asian Cardiovasc Thorac Ann. 2017 Jan;25(1):6-12
pubmed: 27920229
Pediatrics. 2011 Jul;128(1):e237-41
pubmed: 21646254
Curr Opin Pulm Med. 2010 Jul;16(4):387-93
pubmed: 20410823
Heart Surg Forum. 2020 Dec 11;23(6):E902-E906
pubmed: 33399533
Early Hum Dev. 2015 Nov;91(11):629-35
pubmed: 26375355
Curr Opin Pediatr. 2012 Jun;24(3):291-4
pubmed: 22498675
J Paediatr Child Health. 2008 Dec;44(12):716-21
pubmed: 19077067
Pediatr Cardiol. 2013 Jun;34(5):1094-9
pubmed: 23229292
J Adv Nurs. 2004 Aug;47(3):260-9
pubmed: 15238120
Pediatr Pulmonol. 2021 Oct;56(10):3093-3105
pubmed: 34324269
J Perinatol. 2007 Jul;27(7):434-6
pubmed: 17554391
J Card Surg. 2020 Jan;35(1):108-112
pubmed: 31730717
Cardiol Young. 2018 Feb;28(2):222-228
pubmed: 28835310
Interact Cardiovasc Thorac Surg. 2021 Oct 29;33(5):773-778
pubmed: 34000045
Cardiol Young. 2017 May 29;:1-8
pubmed: 28552079
Lipids. 1987 Jun;22(6):417-20
pubmed: 3112486
Cureus. 2021 Mar 10;13(3):e13811
pubmed: 33859882
JPEN J Parenter Enteral Nutr. 2020 Jul;44(5):904-911
pubmed: 31599047
J Card Surg. 2009 Jul-Aug;24(4):369-73
pubmed: 19583606
Nutrients. 2016 May 11;8(5):
pubmed: 27187450
JPEN J Parenter Enteral Nutr. 2020 Jul;44(5):895-902
pubmed: 31529507
Respiration. 2022;101(1):84-96
pubmed: 34515211
Am J Med Sci. 2008 Jan;335(1):16-20
pubmed: 18195578
Ann Thorac Surg. 2006 Nov;82(5):1650-6
pubmed: 17062221
JAMA Pediatr. 2015 Jun;169(6):e151025
pubmed: 26030516
Plast Reconstr Surg. 2018 Jun;141(6):1502-1507
pubmed: 29794709
Korean J Thorac Cardiovasc Surg. 2020 Apr 05;53(2):41-48
pubmed: 32309201