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Ann Thorac Surg 2006;82:729-730
© 2006 The Society of Thoracic Surgeons

Case report

Tension Chylothorax

John B. Ammori, MD, Allan Pickens, MD*, Andrew C. Chang, MD, Mark B. Orringer, MD

Department of Surgery, University of Michigan, Ann Arbor, Michigan

Accepted for publication October 17, 2005.

* Address correspondence to Dr Pickens, MD, 2120 Taubman Center, Box 0344, 1500 East Medical Center Dr, Ann Arbor, MI 48109 (Email: allanp{at}med.umich.edu).

Thoracic duct injury resulting in chylothorax is a well-known and documented complication of thoracic surgery. However, chylothorax under tension is a rarely reported complication that results in respiratory and hemodynamic collapse. Early recognition and treatment of this entity are essential for optimal patient outcome. Herein we present two cases of postoperative tension chylothorax followed by a review of the diagnostic work-up and therapy for this complication.






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