title: Computed Tomography-Guided Percutaneous Thoracic Duct Sclero-Embolization for Persistent Chylothorax.
abstract: Postoperative chylous leak is often a consequence of thoracic duct injury during surgical procedures. Persistent chylothorax can be an extremely morbid condition. The authors describe a case of a refractory and long-standing chylous leak after thoracotomy for mediastinal lymphangioma removal. The patient was treated with a computed tomography-guided percutaneous thoracic duct sclero-embolization after failure of the conventional therapies. The chest tube output abruptly decreased after the procedure and was removed at 13th day. Percutaneous thoracic duct sclero-embolization proved to be safe and effective in the treatment of a persistent chylothorax.
authors: From the Departments of *Interventional Radiology and †Thoracic Surgery, Hospital Israelita Albert Einstein, São Paulo, Brazil.
authors: Rodrigo Gobbo
authors: RG
authors: Garcia
authors: Rafael Dahmer
authors: RD
authors: Rocha
authors: Juliana
authors: J
authors: Franceschini
authors: Mário Cláudio
authors: MC
authors: Ghefter
authors: Breno Boueri
authors: BB
authors: Affonso
authors: Antônio
authors: A
authors: Rahal
authors: Priscila Mina
authors: PM
authors: Falsarella
authors: Felipe
authors: F
authors: Nasser
authors: Ricardo Sales
authors: RS
authors: Dos Santos
mesh_terms: D000328:Adult; D002916:Chylothorax / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008202:Lymphangioma / Q000601:surgery*; D008479:Mediastinal Neoplasms / Q000601:surgery*; D013897:Thoracic Duct / Q000601:surgery; D013908:Thoracotomy / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome