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Ann Thorac Surg 2002;74:263-265
© 2002 The Society of Thoracic Surgeons

Case report

Thoracoscopic ultrasonic coagulation of thoracic duct in management of postoperative chylothorax

Sadanori Takeo, MD*a,b, Koji Yamazaki, MDa, Mikako Takagi, MDa, Atsuhiro Nakashima, MDb

a Department of Thoracic Surgery, National Kyushu Medical Center, Fukuoka, Japan
b Department of Clinical Research, National Kyushu Medical Center, Fukuoka, Japan

Accepted for publication December 28, 2001.

* Address reprint requests to Dr Takeo, Department of Thoracic Surgery, National Kyushu Medical Center, Jigyohama 1-8-1 Chuo-ku, Fukuoka 810-8563, Japan
e-mail: sada{at}qmed.hosp.go.jp

Chylothorax is a rare but potentially serious complication of cardiac operations. We report here a 72-year-old man who underwent replacement of a descending aneurysm with a synthetic graft for dissecting aneurysm (IIIa). A persistent postoperative chylothorax developed, which necessitated continuous drainage, despite conservative treatment more than 12 days. Thoracoscopic high-frequency ultrasonic coagulation of the thoracic duct without clipping finally stopped chyle production. This method may be useful from the standpoint of minimal access, rapid recovery, less pain, and a shorter operation.






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