Pathogenesis of bilateral chylothorax after injury of thoracic duct during central venous catheterization.

Is it due to the preferential passage of chyle from the mediastinal space to a particular pleural space owing to pressure differences in the pleural spaces? Animal studies have shown that there may be significant differences in the right and left pleural space pressures.[ 5 ] Can this account for the observations above or is there another explanation behind it?

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