Percutaneous radiological management of high-output chylothorax with CT-guided needle disruption.
We present the study of a 58-year-old man who underwent percutaneous management of a high-output chylothorax following cardiac bypass graft surgery. The patient presented to a peripheral hospital 3 weeks postoperatively following cardiac bypass graft surgery with shortness of breath. A chest radiograph taken on arrival to the emergency department showed a large left-sided pleural effusion. Subsequent intercostal chest tube insertion drained a large amount of chylous fluid. The patient was treated conservatively with no improvement until undergoing a CT-guided needle disruption of lymphatics with good effect. This case is presented to show the minimally invasive treatment methods that are available in the management of high-output chylothorax.
Litherland
B
B
Department of Radiology, The Alfred Hospital, Melbourne, Victoria, Australia.
Given
M
M
Lyon
S
S
D002916:Chylothorax / Q000000981:diagnostic imaging* / Q000628:therapy*; D003287:Contrast Media / Q000008:administration & dosage; D001026:Coronary Artery Bypass / Q000009:adverse effects; D004322:Drainage / Q000295:instrumentation / Q000379:methods; D004417:Dyspnea / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D007459:Iodized Oil / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009339:Needles; D010996:Pleural Effusion / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D018700:Pleurodesis / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed / Q000379:methods*
D003287:Contrast Media; D007459:Iodized Oil