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Treatment of a persistent postoperative chylothorax with somatostatin

Müller-Schenker, B
Published in Annals of Thoracic Surgery. 1998, vol. 66, no. 1, p. 253-4
Abstract 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.
Keywords Chyle/metabolismChylothorax/drug therapyDrainageEnteral NutritionHormone Antagonists/administration & dosage/therapeutic useHumansInfantInfusions, IntravenousMalePostoperative Complications/drug therapyRetreatmentSomatostatin/administration & dosage/therapeutic useTransposition of Great Vessels/surgery
PMID: 9692478
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Article (Published version) (271 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Research groups Chirurgie cardio-vasculaire (105)
L'hypertension pulmonaire (pédiatrie) (228)
Maladies pulmonaires aigues et pathologies cardiaques congénitales (697)
(ISO format)
RIMENSBERGER, Peter et al. Treatment of a persistent postoperative chylothorax with somatostatin. In: Annals of Thoracic Surgery, 1998, vol. 66, n° 1, p. 253-4. doi: 10.1016/S0003-4975(98)00361-0 https://archive-ouverte.unige.ch/unige:73959

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