Successful Percutaneous Thoracic Duct Embolization for Chylothorax After Total Arch Replacement

This report documents successful treatment with percutaneous thoracic duct embolization for chylothorax after total arch replacement. A 69-year-old man underwent replacement of the aortic arch to treat a ruptured aortic aneurysm. After surgery, the left thoracic drain discharged 2,000 to 3,000 mL serosanguineous fluid per day, even though the patient took nothing orally and was administered subcutaneous octreotide therapy. On postoperative day 9, percutaneous thoracic duct embolization was performed, and the drain could be removed. The chylothorax did not recur, and the patient was discharged on postoperative day 17.PMID:38623730 | DOI:10.14503/THIJ-22-8077
Source: Texas Heart Institute Journal - Category: Cardiology Authors: Source Type: research