Korean J Thorac Cardiovasc Surg.  2015 Feb;48(1):74-78. 10.5090/kjtcs.2015.48.1.74.

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

Affiliations
  • 1Departments of Thoracic and Cardiovascular Surgery, Korea University College of Medicine, Korea. heartistcs@naver.com
  • 2Departments of Interventional Radiology, Korea University College of Medicine, Korea.

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.

Keyword

Chylothorax; Thoracic duct; Embolization

MeSH Terms

Aneurysm
Aorta
Chylothorax*
Diet, Fat-Restricted
Ethiodized Oil*
Humans
Lymphography
Postoperative Complications
Thoracic Duct*
Thoracic Surgical Procedures
Ethiodized Oil
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