Cell-Free and Concentrated Pleural Effusion Reinfusion Therapy for Postoperative Chylothorax
10.4326/jjcvs.38.205
- VernacularTitle:術後乳糜胸の補助療法として胸水濾過濃縮再静注法が有効であった1例
- Author:
Yoshihide Sawada
;
Yukiya Nomura
;
Yasuyoshi Yoshii
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2009;38(3):205-207
- CountryJapan
- Language:Japanese
-
Abstract:
Chylothorax is a rare but serious complication of thoracic surgery, with a poor prognosis, unless treated properly. We report the case of a 73-year-old man who developed massive chylothorax after thoracic aortic replacement. The patient was initially treated conservatively and during this period, we applied CART (Cell-free and Concentrated Ascites Reinfusion Therapy) method which performed thoracic drainage fluid to keep the patient's condition well. Administration of octreotide was not effective in this case. Thoracic duct ligation was eventually performed after the thoracic duct laceration was confirmed by lymphangiography. The patient recovered well and was discharged with no sign of recurrence.
