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Ann Thorac Surg 1998;66:253-254
© 1998 The Society of Thoracic Surgeons


Case Reports

Treatment of a persistent postoperative chylothorax with somatostatin

Peter C. Rimensberger, MDa, Beatrice Müller-Schenker, MDa, Afksendiyos Kalangos, MD, PhDb, Maurice Beghetti, MDa

a Department of Pediatrics, Hôpital des Enfants, University Hospital of Geneva, Geneva, Switzerland
b Department of Cardiovascular Surgery, Hôpital des Enfants, University Hospital of Geneva, Geneva, Switzerland

Accepted for publication January 31, 1998.

Address reprint requests to Dr Rimensberger, Critical Care, Department of Pediatrics, Hôpital des Enfants, University Hospital of Geneva, 6, Rue Willy-Donzé, CH-1211 Geneva 14, Switzerland
e-mail: (rimensberger-peter{at}hcuge.ch)

Chylothorax is a rare but potentially serious complication of pediatric cardiac operations. We report the case of a 4-month-old boy who underwent a Senning procedure for correction of D-transposition of the great vessels. A persistent postoperative chylothorax developed, necessitating continuous drainage, despite conservative treatment over 3 weeks. Thereafter, continuous somatostatin infusion for 14 days led to the reduction and finally cessation of chyle production. This treatment allowed early enteral feeding and avoided further surgical intervention.




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