Ito Hideki, Usui Akihiko, Uchida Wataru, Mutsuga Masato
Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi 466-8560 Japan.
Indian J Thorac Cardiovasc Surg. 2019 Jan;35(1):104-107. doi: 10.1007/s12055-018-0735-y. Epub 2018 Sep 17.
Chylothorax is a rare but serious complication following aortic surgery. Our patient was a 68-year-old man who underwent descending aortic replacement for a chronic dissected aortic aneurysm and in whom chylothorax postoperatively developed due to a thoracic duct injury. Although adequate medical treatment was immediately initiated at diagnosis, chyle leakage persisted. Lipiodol lymphography followed by computed tomography showed the accurate site of the leakage. Surgical repair was performed via a repeat thoracotomy with smaller incision. We were able to detect the laceration of the thoracic duct. The patient recovered and was uneventfully discharged.
乳糜胸是主动脉手术后一种罕见但严重的并发症。我们的患者是一名68岁男性，因慢性主动脉夹层动脉瘤接受降主动脉置换术，术后因胸导管损伤发生乳糜胸。尽管在诊断时立即开始了充分的药物治疗，但乳糜漏仍持续存在。碘油淋巴造影后行计算机断层扫描显示了准确的漏出部位。通过较小切口的再次开胸手术进行了手术修复。我们能够检测到胸导管的撕裂。患者康复并顺利出院。
