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碘油用于经去分支手术的胸主动脉腔内修复术后乳糜胸的胸导管栓塞术

Thoracic Duct Embolization with Lipiodol for Chylothorax due to Thoracic Endovascular Aortic Repair with Debranching Procedure.

作者信息

Lee Kwang Hyoung, Jung Jae Seung, Cho Sung Bum, Lee Seung Hun, Kim Hee Jung, Son Ho Sung

机构信息

Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine.

Department of Interventional Radiology, Korea University College of Medicine.

出版信息

Korean J Thorac Cardiovasc Surg. 2015 Feb;48(1):74-7. doi: 10.5090/kjtcs.2015.48.1.74. Epub 2015 Feb 5.

Abstract

Chylothorax is a rare postoperative complication of a thoracic surgical procedure. Here, we report a case of chylothorax after thoracic endovascular aortic repair with debranching for the distal arch aneurysm of the aorta. First, the patient was treated by a medical method (nil per os, fat-free diet, and octreotide), but this method failed. The patient strongly refused surgical treatment. Therefore, we tried to occlude the thoracic duct by lymphangiography Lipiodol, and this line of treatment was successful.

摘要

乳糜胸是胸外科手术罕见的术后并发症。在此,我们报告一例因主动脉弓远端动脉瘤行去分支胸主动脉腔内修复术后发生乳糜胸的病例。首先,患者接受了保守治疗(禁食、无脂饮食及奥曲肽),但该方法失败。患者强烈拒绝手术治疗。因此,我们尝试通过淋巴管造影用碘油闭塞胸导管,该治疗方法取得成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a80/4333843/ad4dc8cb9ecc/kjtcvs-48-74f1.jpg

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