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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.

Role of Chemical Pleurodesis in management of Resistant Chylothorax following congenital cardiac surgery