title: Management of Aortic Replacement-Induced Chylothorax by Lipiodol Lymphography.
abstract: Chylothorax is a rare but serious complication of thoracic aortic surgery, leading to malnutrition, respiratory insufficiency, and prolonged hospital stay. In this article, we describe the successful treatment of a case of intractable chylothorax by lipiodol lymphography. The patient was a 39-year-old man who underwent descending aortic replacement for a remaining dissected aneurysm after total arch replacement. Chylothorax developed postoperatively. After complete oral intake cessation, total parenteral nutrition, and plasmatic factor XIII administration, lipiodol lymphography detected the chyle leakage location and subsequently decreased pleural effusion. The patient recovered uneventfully and was discharged on postoperative day 30 without any complications.
authors.affiliation: Department of Cardiovascular Surgery, Keio University Hospital, Tokyo, Japan.
authors.forename: Hiroto
authors.initials: H
authors.lastname: Kitahara
authors.affiliation: Department of Cardiovascular Surgery, Keio University Hospital, Tokyo, Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Yoshitake
authors.affiliation: Department of Cardiovascular Surgery, Keio University Hospital, Tokyo, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Hachiya
authors.affiliation: Department of Cardiovascular Surgery, Keio University Hospital, Tokyo, Japan.
authors.forename: Yu
authors.initials: Y
authors.lastname: Inaba
authors.affiliation: Department of Radiology, Keio University Hospital, Tokyo, Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Tamura
authors.affiliation: Department of Radiology, Keio University Hospital, Tokyo, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Yashiro
authors.affiliation: Department of Radiology, Keio University Hospital, Tokyo, Japan.
authors.forename: Seiji
authors.initials: S
authors.lastname: Nakatsuka
authors.affiliation: Department of Cardiovascular Surgery, Keio University Hospital, Tokyo, Japan.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Shimizu
keywords: aortic surgery complication; chylothorax; lipiodol lymphography