[Postoperative chylothorax treated with fibrin glue and absorbent mesh: a case report].

Abstract

A 66-year-old man was treated by graft replacement for a thoracic aortic aneurysm. Chylothorax occurred on postoperative day 2. In spite of cessation of oral intake and IVH management, chest tube drainage did not decrease, the patient became malnourished. A chest X-ray and CT scan revealed the massive pleural effusion. Reoperation assisted with a thoracoscopy was carried out for chylothorax on postoperative day 27. Because we were unable to find the thoracic duct and the leakage point, the fibrin glue and absorbent mesh was applied to parietal and mediastinal pleura. Four days after reoperation, the chest tube was removed. This method is useful for this type of a chylothorax and lymphorrhea.

• Authors: S Shiono, T Sato, M Abiko, M Otsutomo, Y Okada, G Yaginuma, K Abe, K Uesho
• Journal: Kyobu geka. The Japanese journal of thoracic surgery (Kyobu Geka) Vol. 51 Issue 10 Pg. 879-81 (Sep 1998) ISSN: 0021-5252 [Print] Japan
• PMID: 9757646 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Fibrin Tissue Adhesive

Topics

• Absorption
• Aged
• Aortic Aneurysm, Thoracic (surgery)
• Blood Vessel Prosthesis Implantation
• Chylothorax (surgery)
• Fibrin Tissue Adhesive (therapeutic use)
• Humans
• Male
• Postoperative Complications (surgery)
• Surgical Mesh