background: injured phrenic nerve secondary to cardiac surgeries is the most common cause of diaphragmatic paralysis (dp) in infants. the aim of this study was to determine the risk factors for dp caused by congenital heart defect corrective surgeries in pediatrics. methods: this cross-sectional study, conducted in a 2-year period (2006 – 2008), included 451 children with congenital heart disea...

Chylothorax in adult occurs most commonly in the wake of cardiac and thoracic procedures. Injuries to the common thoracic duct in the thorax or its branches in the mediastinum, injuries to the thymus tissues, dissection of the superior vena cava or ascending aorta, dissection of the aortic arch, disruption of the accessory lymphatics in the left or right thorax, and increased pressure in the sy...

Postoperative chylothorax remains an uncommon but potentially life-threatening complication of various intrathoracic procedures, and the ideal management of this condition is still controversial. We report the treatment of four patients with chylothorax after thoracic surgical procedures during the year of 2010 and 2011. Instead of surgical intervention, their management had succeeded in bedsid...

acute left atrial thrombosis at the site of the resection of the primary cribriform septum is an exceedingly rare and important complication after atrial septal defect (asd) closure with a pericardial or synthetic patch. this case report presents a mobile thrombus noted on the left atrium at the raw surface site of a resected cribriform primary septum that was not caught in the suture line with...

Chylothorax refers to the accumulation of chyle in the pleural cavity. Although rare, it is the most frequent cause of pleural effusion in the neonatal period. Its incidence is estimated at one in 15,000 neonates. The causes of chylothorax are multiple, and there are several major types of chylothorax defined by origin, ie, traumatic (and iatrogenic) chylothorax, medical (spontaneous) chylothor...

Congenital chylothorax is an uncommon cause of respiratory distress and a life-threatening condition in newborns. It is identified by abnormal accumulation of chyle in the pleural space. Herein, we report a male infant who was born by a successful vaginal delivery. After the first three days of life, he had feeding difficulties and cyanotic episodes during breastfeeding. On admission, physical ...

OBJECTIVE To evaluate the use of video-assisted thoracoscopy in the surgical treatment of chylothorax developed after the surgical correction of congenital heart disease in children. METHODS We reviewed the medical charts of 3,092 children who underwent surgery for congenital heart disease between February of 2002 and February of 2007 at the Heart Institute of the University of São Paulo Scho...

congenital chylothorax is an uncommon cause of respiratory distress and a life-threatening condition in newborns. it is identified by abnormal accumulation of chyle in the pleural space. herein, we report a male infant who was born by a successful vaginal delivery. after the first three days of life, he had feeding difficulties and cyanotic episodes during breastfeeding. on admission, physical ...

Background: Vaginal aplasia is a rare congenital anomaly with different surgical techniques suggested for vaginal reconstruction.McIndoe vaginoplasty is an easy one of these surgical methods with a low morbidity rate, but its long-term results need to be further investigated. Therefore, the female genital anatomy and sexual function was examined afte...

Background: Congenital chylothorax is the most common cause of pleural effusion in newborn infants. These infants show signs of respiratory distress at birth. Chemical pleurodesis with OK-432 has recently been proposed for cases of persistent congenital chylothorax as an alternative method to surgery. Here we report a case of neonate with congenital chylothorax who developed hemothorax and shoc...