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- Title
Right-Sided Chylothorax: A Case Report of an Uncommon Manifestation After Cervical Debranching Thoracic Endovascular Aneurysm Repair.
- Authors
Sasaki, Hanae; Kowatari, Ryosuke; Kondo, Norihiro; Taguchi, Ryo; Minakawa, Masahito
- Abstract
A 70-year-old man was admitted to our hospital with a thoracic aortic aneurysm. He underwent elective thoracic endovascular aneurysm repair with left common carotid artery-left subclavian artery bypass via the left supraclavicular approach. During the bypass, the thoracic duct was injured and ligated. On postoperative day 3, the patient complained of dyspnea. Chest radiography revealed a massive right-sided pleural effusion. On postoperative day 5, he was diagnosed with right-sided chylothorax and underwent chest tube insertion. The next day, a left-sided chylothorax was noted, and chest tube drainage was performed. Conservative management, including nil per os and subcutaneous octreotide (300 μg/day) injection, was carried out for 2 weeks; subsequently, the chylothorax improved. This report highlights the diagnostic challenge of right-sided chylothorax after debranching thoracic endovascular aneurysm repair.
- Subjects
CHYLOTHORAX; ENDOVASCULAR aneurysm repair; THORACIC aneurysms; CHEST X rays; PLEURAL effusions; SURGICAL complications; OCTREOTIDE acetate; DYSPNEA; CHEST tubes; MEDICAL drainage
- Publication
Vascular & Endovascular Surgery, 2022, Vol 56, Issue 6, p602
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744221090909