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  • Title: Surgical ligation of cisterna chyli: an alternative treatment for chronic chylothorax in children.
    Author: Zanin A, Padalino MA, Cerutti A, Vida VL, Milanesi O, Stellin G, Bardini R.
    Journal: Ann Thorac Surg; 2010 Nov; 90(5):1732-4. PubMed ID: 20971313.
    Abstract:
    Postoperative chylothorax represents one of the early and most serious complications after cardiothoracic operations. When conservative measures are not effective, an operation is mandatory. We describe a case of persistent chylothorax after a "one-and-a-half ventricle" repair in an infant with complex congenital heart disease, which was successfully treated with a transabdominal ligation of the cisterna chyli. At the 1-year follow-up, she is in excellent clinical condition, without recurrence of pleural effusion or the requirement for nutritional support. Ligation of cisterna chyli may represent a safe and effective ultimate treatment in children with persistent chylothorax.
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