title: Lymphoscintigraphic localization of a high-output chylus leak after bilateral lung transplantation.
abstract: We report the case of a 59-year-old man who developed a high-output chylothorax after bilateral lung transplantation. For exact localization of the leak, lymphoscintigraphy was performed before re-thoracotomy by application of Tc-99m-nanocolloid single-photon emission computed tomography (SPECT/CT), which showed a radioactive accumulation in the medial lower thoracic cavity, localized below the right upper pulmonary vein. This technique is actually an overly complex, time-consuming procedure for proper surgical planning in selected cases.
authors.affiliation: Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Carl-Neuberg-Strasse 1, Hannover, Germany. peterss.sven@mh-hannover.de
authors.forename: Sven
authors.initials: S
authors.lastname: Peterss
authors.forename: Klaus Friedrich
authors.initials: KF
authors.lastname: Gratz
authors.forename: Nawid
authors.initials: N
authors.lastname: Khaladj
authors.forename: Christian
authors.initials: C
authors.lastname: Hagl
authors.forename: Gregor
authors.initials: G
authors.lastname: Warnecke
authors.forename: Stefan
authors.initials: S
authors.lastname: Fischer
authors.forename: Axel
authors.initials: A
authors.lastname: Haverich
mesh_terms: D002913:Chyle / Q000000981:diagnostic imaging*; D002916:Chylothorax / Q000000981:diagnostic imaging*; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin; C083602:technetium Tc 99m nanocolloid