title: Advantage of earlier thoracoscopic clipping of thoracic duct for post-operation chylothorax following thoracic aneurysm surgery.
abstract: 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.
authors.affiliation: Division of Cardiovascular Surgery, Takarazuka Municipal Hospital, Hyogo, Japan.
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Hirata
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Ueno
authors.forename: Akira
authors.initials: A
authors.lastname: Amemiya
authors.forename: Norihisa
authors.initials: N
authors.lastname: Shigemura
authors.forename: Akinori
authors.initials: A
authors.lastname: Akashi
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Kido
mesh_terms: 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