Post-op chylothorax — RACP Paediatrics MCQ

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ModerateCardiologyPost-op chylothoraxRACP Paediatrics

Day 5 post AVSD repair: milky pleural effusion, triglycerides >1.1 mmol/L, lymphocyte-predominant. What is the most likely complication?

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Correct answer: C — Chylothorax

Milky effusion with high triglycerides and lymphocytes is chylothorax from thoracic duct injury. Management: nil by mouth or MCT formula, chest drain, octreotide.

Reference: RCH Melbourne – 2023 – Post-Cardiac Surgery CPG