Sirolimus ameliorated post lung transplant chylothorax in lymphangioleiomyomatosis.

Ohara, Toshiaki; Oto, Takahiro; Miyoshi, Kentaro; Tao, Hiroyuki; Yamane, Masaomi; Toyooka, Shinichi; Okazaki, Megumi; Date, Hiroshi et al. · Ann Thorac Surg · 2008

case_report · Level V

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Abstract

We report a successful case of sirolimus treatment for chylous pleural and peritoneal effusions of lymphangioleiomyomatosis after lung transplantation. A 32-year-old woman underwent living donor lung transplantation. Persistent chylous pleural and peritoneal effusions were seen postoperatively. Pleurodesis by intrathoracic injection of OK-432, minomycin, and somatostatine analog failed to control chylous effusions. However, sirolimus treatment reduced the amount of chylous drainage and improved both chylous pleural and peritoneal effusions.

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