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Ann Thorac Surg 2000;69:1944-1945
© 2000 The Society of Thoracic Surgeons

Case reports

Conservative management of postoperative chylothorax using somatostatin

Rosemary F. Kelly, MDa, Sara J. Shumway, MDa

a Division of Cardiovascular and Thoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA

Address reprint requests to Dr Kelly, Surgical Service (112), VA Medical Center, One Veterans Dr, Minneapolis, MN 55417
e-mail: kelly071{at}tc.umn.edu

Chylothorax is a rare but serious postoperative complication of thoracic surgical procedures. We report the case of a 77-year-old man who underwent a coronary artery bypass procedure using a left internal mammary artery pedicle graft. A permanent pacemaker was required postoperatively. A persistent postoperative chylothorax developed necessitating continuous drainage and conservative management. Somatostatin was instituted when after 1 week this management failed to resolve the chylothorax. This led to rapid cessation of chyle production. Enteral feeding was reinstituted without complication and surgical intervention was avoided.




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