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Successful medical treatment of persistent pleural drainage after the Fontan operation

^a Klinik für Herzchirurgie, Herzzentrum, Universität Leipzig, Strümpellstrß 39, 04289 Leipzig, Germany
^b Great Ormond Street Hospital for Children NHS Trust, London, UK

^* Corresponding author. Tel.: +44-20-7573-8888; fax: +44-20-7573-8801
walt{at}medizin.uni-leipzig.de

Prolonged pleural drainage remains the most serious complication after the Fontan operation with considerable morbidity and resource implication. Standard treatment including low fat diet, protein replacement, diuretics and angiotensin converting enzyme inhibitor therapy is not always effective. We report a patient in whom excessive and persistent drainage was finally treated with a somatostatin analogue successfully.

Key Words: Total cavopulmonary connection; Pleural effusion; Somatostatin