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Cisterna Chyli Ablation with Thoracic Duct Ligation for Chylothorax: Results in Eight Dogs

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Objective

To report use of combined cisterna chyli ablation (CCA) and thoracic duct ligation (TDL) for treatment of spontaneously occurring chylothorax in dogs. Study Design

Retrospective study. Animals

Eight dogs with chylothorax. Methods

TDL was performed through a right caudal intercostal thoracotomy and CCA through a left flank paracostal approach or ventral median celiotomy. Long-term outcome (range, 2–48 months; median, 11.5 months) was evaluated by telephone communication with owners. Results

Seven dogs were free of clinical signs related to chylothorax at last follow-up (range, 4–48 months; median, 15.5 months). One dog was euthanatized 2 months after surgery because of lack of improvement. No major complications occurred from CCA. Conclusion

CCA and TDL resolved chylothorax in most dogs (88%). Clinical Relevance

CCA combined with TDL may improve the outcome of chylothorax in dogs.
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Keywords: chylothorax; cisterna chyli ablation; dog; thoracic duct ligation

Document Type: Research Article

Affiliations: From the Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison, WI

Publication date: September 1, 2005

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