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Steven P. Cummings
David A. Wyatt
Joseph W. Baker
William D. Spotnitz
Bradley M. Rodgers
Irving L. Kron
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Ann Thorac Surg 1992;54:276-278
© 1992 The Society of Thoracic Surgeons

Articles

Successful treatment of postoperative chylothorax using an external pleuroperitoneal shunt

Steven P. Cummings, MD, David A. Wyatt, MD, Joseph W. Baker, MD, Terry L. Flanagan, MPH, William D. Spotnitz, MD, Bradley M. Rodgers, MD, Irving L. Kron, MD, Curtis G. Tribble, MD*

Division of Thoracic and Cardiovascular Surgery, University of Virginia School of Medicine, Charlottesville, Virginia USA

Accepted for publication December 31, 1991.

* Address reprint requests to Dr Tribble, Division of Thoracic and Cardiovascular Surgery, University of Virginia, Box 181, Charlottesville, VA 22908.

We report 3 patients with chylothorax who were successfully managed as outpatients using external pleuroperitoneal shunts. This external shunt has the advantage over subcutaneously placed shunts of pumping large volumes of fluid with each compression of the pumping chamber, of not causing the discomfort associated with pumping a subcutaneous chamber, of not becoming difficult to find in the subcutaneous space, and of being constructed of larger components which do not kink or become easily clogged with fibrinous debris.




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