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Ann Thorac Surg 1986;42:585-586
© 1986 The Society of Thoracic Surgeons

Articles

Postpneumonectomy Tension Chylothorax

Shreekant V. Karwande, M.D.*, Mark W. Wolcott, M.D., William A. Gay, Jr., M.D.

From the Departments of Surgery, University of Utah Medical Center, 50 N Medical Dr, and Veterans Administration Medical Center, 500 Foothill Blvd, Salt Lake City, UT

Accepted for publication December 16, 1985.

* Address reprint requests to Dr. Karwande, Department of Surgery, VA Medical Center, 500 Foothill Blvd, Salt Lake City, UT 84148

Chylous leak from the thoracic duct into the pleural space may occur after any type of thoracic surgery. This is a serious, often life-threatening entity. Two cases of postpneumonectomy chylothorax with hemodynamic compromise are reported. Early recognition, pathophysiology, and optimal management of this problem are discussed.




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