Shiono S, Sato T, Abiko M, Otsutomo M, Okada Y, Yaginuma G, Abe K, Uesho K
Department of Surgery, Yamagata Prefectural Central Hospital, Yamagata, Japan.
Kyobu Geka. 1998 Sep;51(10):879-81.
A 66-year-old man was treated by graft replacement for a thoracic aortic aneurysm. Chylothorax occurred on postoperative day 2. In spite of cessation of oral intake and IVH management, chest tube drainage did not decrease, the patient became malnourished. A chest X-ray and CT scan revealed the massive pleural effusion. Reoperation assisted with a thoracoscopy was carried out for chylothorax on postoperative day 27. Because we were unable to find the thoracic duct and the leakage point, the fibrin glue and absorbent mesh was applied to parietal and mediastinal pleura. Four days after reoperation, the chest tube was removed. This method is useful for this type of a chylothorax and lymphorrhea.
