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Ann Thorac Surg 2002;73:977-979
© 2002 The Society of Thoracic Surgeons

Case report

Treatment of persistent chylothorax after Norwood procedure with somatostatin

Timothy W. Pettitt, MD*a, Joseph Caspi, MDa, Anne Borne, RNa

a Division of Pediatric Cardiothoracic Surgery, Louisiana State University, New Orleans, Louisiana, USA

Accepted for publication May 28, 2001.

* Address reprint requests to Dr Pettitt, Division of Cardiothoracic Surgery, Children’s Hospital, 200 Henry Clay Ave, New Orleans, LA 70118, USA
e-mail: twpettitt{at}aol.com

A newborn who had undergone Norwood procedure for hypoplastic left heart syndrome developed a voluminous chylothorax that persisted despite weeks of prolonged complete bowel rest, total parenteral nutrition, and effective chest tube drainage. Chest tube output diminished immediately following initiation of intravenous somatostatin, allowing restoration of full enteral feeds and removal of chest tubes within 6 days.




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