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.