Thoracoscopic ultrasonic coagulation of thoracic duct in management of postoperative chylothorax.
case_report · Level V
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Abstract
Chylothorax is a rare but potentially serious complication of cardiac operations. We report here a 72-year-old man who underwent replacement of a descending aneurysm with a synthetic graft for dissecting aneurysm (IIIa). A persistent postoperative chylothorax developed, which necessitated continuous drainage, despite conservative treatment more than 12 days. Thoracoscopic high-frequency ultrasonic coagulation of the thoracic duct without clipping finally stopped chyle production. This method may be useful from the standpoint of minimal access, rapid recovery, less pain, and a shorter operation.
Medical subject headings
- Aortic Dissection
- Aortic Aneurysm, Thoracic
- Blood Vessel Prosthesis Implantation
- Chylothorax
- Postoperative Complications
- Thoracic Duct
- Thoracic Surgery, Video-Assisted