What is chylothorax in coarctation of the aorta (CoA) repair?

Updated: Nov 20, 2018
  • Author: Syamasundar Rao Patnana, MD; Chief Editor: Stuart Berger, MD  more...
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Extensive dissection at surgery may result in disruption of the thoracic duct, leading to chylothorax. Chylothorax is recognized when feedings are instituted postoperatively. Persistent chylous pleural effusions may necessitate long-term chest tube drainage. Some patients respond to dietary therapy with medium-chain triglyceride diet, fat restriction, and/or total parental nutrition. Patients with refractory chylothorax may require pleurodesis or thoracic duct ligation.

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