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Ann Thorac Surg 2004;77:2215-2217
© 2004 The Society of Thoracic Surgeons

Case report

Octreotide and low-fat breast milk in postoperative chylothorax

Mohamed A. Hamdan, MDa*, Mary Lou Gaeta, MDb

a Department of Pediatrics, King Abdulaziz Medical City, Al Ahsa, Saudi Arabia
b Section of Pediatric Critical Care and Applied Physiology, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut, USA

Accepted for publication June 6, 2003.

* Address reprint requests to Dr Hamdan, Department of Pediatrics, King Abdulaziz Medical City, PO Box 2477, Al Ahsa 31982, Saudi Arabia
e-mail: hamdanma{at}ngha.med.sa

Chylothorax is a rare complication following cavo-pulmonary connection and can lead to significant morbidity in infants and young children. We report here the case of a 3-month-old infant who underwent bilateral cavo-pulmonary connections, and developed severe chylothorax refractory to the usual conservative and surgical treatments. His chylothorax resolved after using a combination of parenteral octreotide (Sandostatin, Novartis Pharmaceuticals, East Hanover, NJ) and low-fat breast milk.




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