Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Thoracic Duct Embolization with Lipiodol for Chylothorax due to Thoracic Endovascular Aortic Repair with Debranching Procedure

  • Lee, Kwang Hyoung (Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine) ;
  • Jung, Jae Seung (Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine) ;
  • Cho, Sung Bum (Department of Interventional Radiology, Korea University College of Medicine) ;
  • Lee, Seung Hun (Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine) ;
  • Kim, Hee Jung (Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine) ;
  • Son, Ho Sung (Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine)
  • Received : 2014.07.08
  • Accepted : 2014.09.15
  • Published : 2015.02.05
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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.

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References

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  1. Conventional Lymphangiography (CL) in the Management of Postoperative Lymphatic Leakage (PLL): A Systematic Review vol.192, pp.11, 2015, https://doi.org/10.1055/a-1131-7889