2. CASE SUMMARY
A two year-old boy with single ventricle physiology/double outlet right
ventricle/transposition of the great arteries/pulmonary stenosis, had
undergone a bilateral bidirectional Glenn shunt at seven days old, in
November 2019. In October 2021, he was admitted to the Heart Center,
Vietnam National Children’s Hospital for an elective surgery of a Fontan
procedure. Three days after the Fontan procedure, the patient had
chylothorax. He was then indicated to stop tube feeding and receive
nutrition and medications, such as fluid therapy, lipid 20% and
sandostatin 0.1mg/1ml via a central venous catheter intraoperatively
inserted. Nineteen days after the Fontan procedure, the patient still
had chylothorax and required long-term intravenous nutritional therapy.
The CVC was removed after 14 days of dwelling time, as per usual
procedure of the Hospital policy. PICC then ordered to be placed for
treatment purposes.