Advantage of earlier thoracoscopic clipping of thoracic duct for post-operation chylothorax following thoracic aneurysm surgery.
We report that an earlier thoracoscopic clipping of the thoracic duct was advantageous in a case of post-operation chylothorax that occurred following thoracic aneurysm surgery. A 61-year-old man developed chylothorax on postoperative day 2 following graft replacement of the descending thoracic aorta using a left-sided thoracotomy. Since a replaced graft infection is lethal, earlier thoracoscopic clipping of the thoracic duct through the right side chest wall was indicated. The patient underwent thoracoscopic clipping on postoperative day 7 and was successfully treated. The duration of drainage was 2 days and oral intake was started on the seventh day. From our results, we recommend a thoracoscopic procedure through the opposite (right) side chest wall in the early stage of chylothorax development following thoracic aneurysm surgery.
Hirata
Nobuaki
N
Division of Cardiovascular Surgery, Takarazuka Municipal Hospital, Hyogo, Japan.
Ueno
Takayoshi
T
Amemiya
Akira
A
Shigemura
Norihisa
N
Akashi
Akinori
A
Kido
Tetsuo
T
D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D002916:Chylothorax / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery*; D013525:Surgical Instruments; D013897:Thoracic Duct / Q000601:surgery*; D013906:Thoracoscopy