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

Kyobu Geka. 1998 Sep;51(10):879-81.
[Article in Japanese]

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.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

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

Substances

  • Fibrin Tissue Adhesive