RV bypass (due to surgical anastomosis between PA and RA, SVC, or IVC created for tricuspid atresia or univentricular heart) -> possibly involves pleural fluid transudation from parietal pleura, decreased pleural lymphatic drainage, or lymphatic leakage into pleural space
Clinical Presentations
Pleural Effusion (see [[Pleural Effusion-Transudate]])
Bilateral (60%)/ may be large
May be a significant problem in many patients post-op
Treatment
Pleuroperitoneal shunt: indicated for large post-op effusions
