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Advantage of earlier thoracoscopic clipping of thoracic duct for post-operation chylothorax following thoracic aneurysm surgery

The Japanese Journal of Thoracic and Cardiovascular Surgery volume 51, pages 378–380 (2003)Cite this article

Abstract

We report that an earlier thoracoscopic clipping of the thoracic duct was advantageous in a case of post-operation chylothorax that occurred following thoracic aneurysm surgery. A 61-year-old man developed chylothrax on postoperative day 2 following graft replacement of the descending thoracic aorta using a left-sided thoracotomy. Since a replaced graft infection is lethal, earlier thoracoscopic clipping of the thoracic duct through the right side chest wall was indicated. The patient underwent thoracoscopic clipping on postoperative day 7 and was successfully treated. The duration of drainage was 2 days and oral intake was started on the seventh day. From our results, we recommend a thoracoscopic procedure through the opposite (right) side chest wall in the early stage of chylothorax development following thoracic aneurysm surgery.

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Affiliations

  1. Division of Cardiovascular Surgery, Takarazuka Municipal Hospital, 4-5-1 Kohama, Takarazuka, 665-0827, Hyogo, Japan

    Nobuaki Hirata MD, Takayoshi Ueno MD & Akira Amemiya MD

  2. Division of General Thoracic Surgery, Takarazuka Municipal Hospital, 4-5-1 Kohama, Takarazuka, 665-0827, Hyogo, Japan

    Norihisa Shigemura MD & Akinori Akashi MD

  3. Division of Chest Surgery, Osaka Police Hospital, Osaka, Japan

    Tetsuo Kido MD

Authors
  1. Nobuaki Hirata MD
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  2. Takayoshi Ueno MD
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  3. Akira Amemiya MD
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  4. Norihisa Shigemura MD
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  5. Akinori Akashi MD
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  6. Tetsuo Kido MD
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Hirata, N., Ueno, T., Amemiya, A. et al. Advantage of earlier thoracoscopic clipping of thoracic duct for post-operation chylothorax following thoracic aneurysm surgery. Jpn J Thorac Caridovasc Surg 51, 378–380 (2003). https://doi.org/10.1007/BF02719471

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  • DOI: https://doi.org/10.1007/BF02719471

Key words

  • earlier application
  • chylothorax
  • thoracic aneurysm
  • thoracoscopic clipping