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T2-weighted magnetic resonance lymphangiography (MRL) serves as an imaging method for both pre-Fontan stratification and visualization of postoperative lymphatic complications. This case report describes a pediatric patient managed for prolonged chylothorax after Fontan palliation and discusses how MRL contributed to clinical decision-making and follow-up during the complication course.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/role-of-magnetic-resonance-lymphangiography-in-the-early-complication-management-of-post-fontan-palliation-a-case-report/445525/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/role-of-magnetic-resonance-lymphangiography-in-the-early-complication-management-of-post-fontan-palliation-a-case-report/445525.png","ImageObject",300,407,{"name":92,"@type":93},"Lucas Martin","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is T2-weighted magnetic resonance lymphangiography important in post-Fontan care?","Question",{"text":112,"@type":113},"T2-weighted MRL helps identify risk before Fontan palliation and reveals lymphatic complications that may develop in the postoperative period.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What complication is highlighted in this case report?",{"text":117,"@type":113},"The patient was followed and treated for prolonged chylothorax after Fontan palliation.",{"name":119,"@type":110,"acceptedAnswer":120},"How does the Fontan procedure relate to lymphatic complications described in the article?",{"text":121,"@type":113},"The rise of central venous pressure after the Fontan procedure increases lymphatic fluid production and disrupts lymphatic circulation, leading to early and late complications such as pleural effusion, plastic bronchitis, and protein-losing enteropathy.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},445525,1791080625,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},8796095360427,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Turkish Journal of Thoracic and Cardiovascular Surgery 2025;33(4):568-571  \nCase Report / Olgu Sunumu  \nRole of magnetic resonance lymphangiography in the early complication management of post-Fontan palliation: A case report  \nFontan palyasyonu sonrası erken komplikasyon yönetiminde manyetik rezonans lenfanjiyografinin yeri: Olgu sunumu  \nDemet Kangel1􀀬, Serap Baş2􀀬, Ali Can Hatemi3􀀬, İbrahim Cansaran Tanıdır1􀀬, Erkut Öztürk1􀀬  \n1Department of Pediatric Cardiology, University of Health Sciences, Başakşehir Çam ve Sakura City Hospital, İstanbul, Türkiye 2Department of Radiology, University of Health Sciences, Başakşehir Çam ve Sakura City Hospital, İstanbul, Türkiye 3Department of Pediatric Cardiovascular Surgery, University of Health Sciences, Başakşehir Çam ve Sakura City Hospital, İstanbul, Türkiye  \nABSTRACT  \nLymphatic complications are associated with increased morbidity and mortality in single-ventricle patients. T2-weighted magnetic resonance lymphangiography is an imaging modality of increasing importance both to identify the risk status before Fontan palliation and to reveal lymphatic complications that may occur in the postoperative period. In this article, we present the management of a pediatric case who was followed and treated for prolonged chylothorax after Fontan palliation and discuss the use of magnetic resonance lymphangiography in this process.  \nKeywords: Fontan palliation, lymphangiography, lymphatic complications, magnetic resonance imaging.  \nIn proportion to the increasing life expectancy of patients with a single ventricle, the complications observed after single-ventricle palliation also increase in inverse proportion to the mortality rate. [1] The rise of central venous pressure following the Fontan procedure increases lymphatic fluid production but complicates lymphatic circulation . In this context, the dilatation of lymphatic structures disturbs the lymphatic pump function and results in the occurrence of early and late complications such as pleural effusion, plastic bronchitis, and protein-losing enteropathy. [2] In general, T2-weighted magnetic resonance lymphangiography (MRL) plays a significant role in the prediction and follow-up of these complications . [3]  \nÖZ  \nTek ventrikül hastalarında lenfatik komplikasyonlar, artmış morbidite ve mortalite ile ilişkilidir. T2 ağırlıklı manyetik rezonans lenfanjiyografi hem Fontan palyasyonu öncesi risk durumunu belirlemek, hem de ameliyat sonrası dönemdeoluşabilecek lenfatik komplikasyonları ortaya koymak konusunda önemi her geçen gün artan bir görüntülemeyöntemidir. Bu makalede, Fontan palyasyonu sonrası uzamışşilotoraks nedeniyle takip ve tedavi edilen pediatrik bir olgunun yönetimi sunuldu ve bu süreçte manyetik rezonans lenfanjiyografinin kullanımı tartışıldı .  \nAnahtar sözcükler: Fontan palyasyonu, lenfanjiyografi, lenfatikkomplikasyonlar, manyetik rezonans görüntüleme.  \nIn this article, we present the management and follow-up processes of a pediatric case followed for prolonged chylothorax after the Fontan procedure.  \nCASE REPORT  \nA three-year and seven-month-old male patient infant weighing 21 kg with transposition of the great arteries, large ventricular septal defect, pulmonary stenosis, left ventricular hypoplasia underwent a patent ductus arteriosus (PDA) stent and balloon atrial septostomy at the age of six days and a Glenn shunt procedure at the age of 3.5 months . He was admitted to the ward for preparation before the Fontan palliation . In routine T2-weighted MRL performed for evaluation before Fontan palliation,  \nCorresponding author: Demet Kangel.  \nE-mail: [demetdasdemir90@gmail.com](demetdasdemir90@gmail.com)  \n[Doi: 10.5606/tgkdc.dergisi.2025.27437](Doi: 10.5606/tgkdc.dergisi.2025.27437)  \n[Received:](Received: January 23)[ January 23](Received: January 23) , 2025  \nAccepted: March 24, 2025  \nPublished online: October 20, 2025  \nCite this article as: Kangel D, Baş S, Hatemi AC, Tanıdır İC, Öztürk E. Role of magnetic resonance","cbCaim5pDbKn8bue","https://ap.wps.com/l/cbCaim5pDbKn8bue","pdf",502686,"English","# Abstract\n# Keywords\n# Background\n# Öz (Abstract)\n# Anahtar sözcükler\n# Introduction\n# Case Report\n## Pre-Fontan evaluation\n## Surgical plan and procedure\n## Postoperative follow-up","[{\"question\":\"Why is T2-weighted magnetic resonance lymphangiography important in post-Fontan care?\",\"answer\":\"T2-weighted MRL helps identify risk before Fontan palliation and reveals lymphatic complications that may develop in the postoperative period.\"},{\"question\":\"What complication is highlighted in this case report?\",\"answer\":\"The patient was followed and treated for prolonged chylothorax after Fontan palliation.\"},{\"question\":\"How does the Fontan procedure relate to lymphatic complications described in the article?\",\"answer\":\"The rise of central venous pressure after the Fontan procedure increases lymphatic fluid production and disrupts lymphatic circulation, leading to early and late complications such as pleural effusion, plastic bronchitis, and protein-losing enteropathy.\"}]","Role of magnetic resonance lymphangiography in the early complication management of post-Fontan palliation - A case report | PDF",1790712328]