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Drainage of MASSIVE Chylothorax in Infant Lung - medical procedure Chylothorax is a condition in which lymphatic fluid, specifically a type called "chyle," accumulates in the pleural space (the area between the lungs and the chest wall) in infants. This fluid buildup can impair lung function, making it difficult for the baby to breathe properly. Chyle is a milky bodily fluid rich in fats, electrolytes, and immune cells, usually carried by the lymphatic system after digestion. In infants, chylothorax is often due to congenital malformations of the lymphatic system or can be caused by trauma, surgery, or certain infections. The primary causes include: Congenital Lymphatic Abnormalities: Some infants are born with poorly formed or malfunctioning lymphatic vessels, which can lead to fluid leakage into the pleural space. Birth Trauma or Thoracic Surgery: Injury during birth or postnatal surgical procedures, particularly in the chest area, can damage the thoracic duct (the main lymphatic vessel), leading to chyle leakage. Genetic Conditions: Certain genetic syndromes, like Noonan syndrome or Down syndrome, are associated with a higher risk of chylothorax. Idiopathic Causes: In some cases, the exact cause cannot be identified, which is referred to as idiopathic chylothorax.