Case Reports in Medicine instability, abdominal distension, hyperglycemia induced by osmotic dialysate and pulmonary complications may limit its indications [8]. Because our patient developed repetitive episodes of blood pressure drop following the drainage and technical diﬃculties with dialysate leaks, and the need for dialysis was not necessary as renal function improved, it was decided to stop the dialysis and keep the Tenckoﬀ catheter for peritoneal drainage. The use of peritoneal drainage for the management of ﬂuid overload following cardiac surgery in newborns is commonly used in practice but data have not been published. One study had reported a positive impact on ﬂuid balance in the treatment of patient with ascitis [9]. In the present case, when comparing the week preceding and following the removal of the peritoneal drain, we noted that the urine output was similar, but that the ﬂuid balance could only be improved with the help of the peritoneal drain. During the study period, the daily dose of furosemide remained similar, while spirolonactone was discontinued over the second period because of its weak diuretic eﬀect [10] and its inability to avoid furosemide induced hypokalemia. In addition, ﬂuid removal by peritoneal drainage did not impair renal function. 4. Conclusion Cardiac surgery in the newborn is often complicated by ﬂuid overload. While peritoneal dialysis is needed to help regulate ﬂuid balance when acute kidney injury is present, the continuous peritoneal drainage is a simple alternative technique to remove ﬂuid in these patients when dialysis is not indicated. Further data collection from other similar patients is however needed to conﬁrm this hypothesis. References [1] R. Bellomo, J. Raman, and C. Ronco, “Intensive care unit management of the critically ill patient with ﬂuid overload after open heart surgery,” Cardiology, vol. 96, no. 3-4, pp. 169– 176, 2001. [2] G. Hartnoll, “Basic principles and practical steps in the management of ﬂuid balance in the newborn,” Seminars in Neonatology, vol. 8, no. 4, pp. 307–313, 2003. [3] D. Stromberg, C. D. Fraser Jr., J. M. Sorof, K. Drescher, and T. F. Feltes, “Peritoneal dialysis: an adjunct to pediatric postcardiotomy ﬂuid management,” Texas Heart Institute Journal, vol. 24, no. 4, pp. 269–277, 1997. [4] T. Alkan, A. Akcevin, H. Turkoglu, et al., “Postoperative prophylactic peritoneal dialysis in neonates and infants after complex congenital cardiac surgery,” ASAIO Journal, vol. 52, no. 6, pp. 693–697, 2006. [5] K. L. McNiece, E. E. Ellis, J. J. Drummond-Webb, E. E. Fontenot, C. M. O’Grady, and R. T. Blaszak, “Adequacy of peritoneal dialysis in children following cardiopulmonary bypass surgery,” Pediatric Nephrology, vol. 20, no. 7, pp. 972– 976, 2005. [6] S. Leteurtre, A. Martinot, A. Duhamel, et al., “Validation of the paediatric logistic organ dysfunction (PELOD) score: prospective, observational, multicentre study,” The Lancet, vol. 362, no. 9379, pp. 192–197, 2003. 3 [7] M. Gheorghiade, R. J. Cody, G. S. Francis, W. J. McKenna, J. B. Young, and R. O. Bonow, “Current medical therapy for advanced heart failure,” American Heart Journal, vol. 135, no. 6, supplement 2, pp. S231–S248, 1998. [8] P. Jouvet, C. Litalien, V. Phan, and A. Merouani, “ E´puration extra-re´nale chez l’enfant,” in Circulations Extra-Corporelles en R´eanimation, O. Bastien, P. Honore´, and R. Robert, Eds., pp. 193–210, Elsevier, Paris, France, 2006. [9] A. Piotrowski, W. Sobala, P. Krajewski, W. Fendler, and I. Dabrowska-Wojciak, “Ascites in infants with severe sepsis— treatment with peritoneal drainage,” Paediatric Anaesthesia, vol. 16, no. 12, pp. 1268–1273, 2006. [10] B. Pitt, F. Zannad, W. J. Remme, et al., “The eﬀect of spironolactone on morbidity and mortality in patients with severe heart failure,” The New England Journal of Medicine, vol. 341, no. 10, pp. 709–717, 1999.