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Ann Thorac Surg 2003;76:341-342
© 2003 The Society of Thoracic Surgeons
a Pediatric Cardiothoracic Surgery, Childrens Hospital, 200 Henry Clay Ave, New Orleans, LA, USA 70118
| The first 20% of the full text of this article appears below. |
To the Editor:
We appreciate the interest in our case report and the comments made by Dr Matsuo and colleagues. They described a patient with asplenia syndrome, status post repair of total anomalous pulmonary venous connection and pulmonary artery banding, who developed a chylothorax after undergoing total cavo-pulmonary shunt at 18 months of age. After 3 weeks of persistent drainage, somatostatin was given intravenously, causing a dramatic reduction in chest tube drainage, allowing chest tube removal 5 days after initiating somatostatin. The next day, 6 days after initiating somatostatin, the patient developed a midgut volvulus from malrotation necessitating emergent laparotomy.
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