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Category: Volume 07 Issue 05 May 2019
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Title: Role of Chemical Pleurodesis in management of Resistant Chylothorax following congenital cardiac surgery

Authors: Reyaz Ahmad Lone, Shadab Nabi Wani, Peerzada Ommid Mohamad, Pradeep Bhaskar, Ahmad bin Sallehuddin, Aslam Faris, Muhammad Riyas K Rahmath, Jiju John, Faraz Masud, Hesham Al-Saloos, Mohanad Mahmmod al-Qadi, Akhlaque Nabi Bhat

 DOI: https://dx.doi.org/10.18535/jmscr/v7i5.38

Abstract

Chylothorax in children is most commonly observed following the cardiac surgery for the congenital heart diseases. A number of therapeutic interventions have been used to reduce chylothorax production and promote resolution. Management involves supportive care, parenteral nutrition, octreotide infusion and if necessary chemical or surgical pleurodesis to obtain pleural adhesion, thus obliterating chylous leaks.We report herewith 3 children with refractory chylothoraces who improved significantly following pleurodesis using Povidone Iodine.  Our findings suggest that this technique can be therapeutic for children with high flow chylothorax that fail to respond to conservative therapy.

Keywords: Chylothorax, Children, Cardiac Surgery, Chemical Pleurodesis, Povidone Iodine, Drainage.

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Corresponding Author

Dr Reyaz Ahmad Lone

Consultant paediatric cardiac surgery

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Cardiothoracic Department, Hamad Medical Corporation, Doha, Qatar