title: Bilateral chylothorax after transsternal total thymectomy: resolution with short period of fasting and total parenteral nutrition.
abstract: Bilateral chylothorax after transsternal total thymectomy is very rare, but can be a serious complication. Disruption of minor lymphatic channels in the anterior mediastinum which is remote from thoracic duct is considered to be the cause of chylothorax. We report the case of bilateral chylothorax followed by thymectomy which was treated with pleural drainage, total parenteral nutrition, and fasting without octreotide injection.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju, South Korea.
authors.forename: Jinsik
authors.initials: J
authors.lastname: Kim
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju, South Korea.
authors.forename: Jee Won
authors.initials: JW
authors.lastname: Chang
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju, South Korea.
authors.forename: Su Wan
authors.initials: SW
authors.lastname: Kim
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju, South Korea.
authors.forename: Seogjae
authors.initials: S
authors.lastname: Lee
keywords: Sternotomy; chylothorax; thymectomy