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J Thorac Cardiovasc Surg 2007;133:584-585
© 2007 The American Association for Thoracic Surgery

Brief Communication

Lymphoceles in premature infants after congenital diaphragmatic hernia repair: Thoracoscopic management

Amulya K. Saxena, MD*, Emir Haxihja, MD, Barbara Kleinlein, MD, Michael E. Höllwarth, MD

Department of Pediatric Surgery, Medical University of Graz, Graz, Austria.

Received for publication August 29, 2006; accepted for publication September 25, 2006.

* Address for reprints: Amulya K. Saxena, MD, Department of Pediatric Surgery, Medical University of Graz, Auenbruggerplatz 34, A-8034 Graz, Austria. (Email: Amulya.Saxena@klinkum-graz.at).

The first 20% of the full text of this article appears below.

Polytetrafluoroethylene (PTFE) is a prosthetic material used for congenital diaphragmatic hernia (CDH) closure that has been associated with low morbidity. We report the case of a 2150-g premature newborn with a left-sided diaphragmatic hernia managed with PTFE. Heparin therapy was initiated because of an inferior vena caval thrombosis formed as a result of an indwelling umbilical catheter placed after birth. During the postoperative course, left thoracic lymphoceles developed that increased in volume, leading to bouts of respiratory distress. The lymphoceles could be successfully managed with minimal invasive thoracoscopic surgery.

Clinical Summary

A premature newborn (III/II; male; birth weight, 2150 g; gestational age, 33 weeks and 1 day) with a left-sided CDH diagnosed antenatally was delivered by means of cesarean section because of premature detachment of the placenta in a pregnancy complicated throughout by vaginal bleeding. The newborn presented with Apgar scores of 5/8/8 and was intubated immediately after birth because of the presence of pulmonary hypoplasia (arterial blood gas, pH 7.24; P. . . [Full Text of this Article]






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