Case Report: PDF OnlySurgical Treatment of Chylothorax Caused by Cardiothoracic Surgery in ChildrenLiu, Chin-Su*; Tsai, Hsin-Lin; Chin, Tai-Wai; Wei, Chou-FuAuthor Information Division of Pediatric Surgery, Department of Surgery, Taipei Veterans General Hospital, and National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C. *Correspondence to: Dr. Chin-Su Liu, Division of Pediatric Surgery, Department of Surgery, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C. E-mail: [email protected] Received: August 27, 2004 • Accepted: December 1, 2004 Journal of the Chinese Medical Association: May 2005 - Volume 68 - Issue 5 - p 234-236 doi: 10.1016/S1726-4901(09)70214-X Metrics Abstract Four pediatric cases of chylothorax after cardiothoracic surgery, which were managed surgically, are reviewed retrospectively. All patients underwent right thoracotomy and mass ligation of the right thoracic duct without detecting the true site of leakage. Although 1 patient died from heart failure the day after operation, the other 3 recovered quickly without sequelae. Based on our limited experience, we suggest that right thoracotomy with mass ligation of the right thoracic duct can successfully cure chylothorax on either side, particularly if identification of the site of leakage is considered too risky because of severe adhesion from previous cardiothoracic surgery. © 2005 by Lippincott Williams & Wilkins, Inc.