Life-threatening chylothorax after left internal mammary artery dissection: therapeutic considerations.

Di Lello, F; Werner, P H; Kleinman, L H; Mullen, D C; Flemma, R J

Di Lello, F; Werner, P H; Kleinman, L H; Mullen, D C; Flemma, R J.

Afiliación

Di Lello F; St. Luke's Hospital, Medical College of Wisconsin, Milwaukee.

Ann Thorac Surg ; 44(6): 660-1, 1987 Dec.

Article en En | MEDLINE | ID: mdl-2446575

RESUMEN

Persistent chylothorax developed in a 53-year-old man after left internal mammary artery (LIMA) takedown and required surgical intervention. After an unsuccessful supraclavicular approach, left-sided standard thoracotomy showed thick adhesions around the LIMA takeoff with a diffuse oozing rather than an identifiable discrete leak. A possible leaking point was stitched, the area was sealed with fibrin adhesive, and complete remission ensued. Operation for chylothorax after LIMA takedown is challenging. A left-sided standard thoracotomy with minimal dissection and use of fibrin adhesive rather than blind stitching are recommended.

Asunto(s)

Quilotórax/cirugía; Revascularización Miocárdica/efectos adversos; Complicaciones Posoperatorias/cirugía; Aprotinina/uso terapéutico; Quilotórax/etiología; Combinación de Medicamentos/uso terapéutico; Urgencias Médicas; Factor XIII/uso terapéutico; Adhesivo de Tejido de Fibrina; Fibrinógeno/uso terapéutico; Humanos; Masculino; Persona de Mediana Edad; Complicaciones Posoperatorias/etiología; Reoperación; Toracotomía/métodos; Trombina/uso terapéutico; Adherencias Tisulares/cirugía; Adhesivos Tisulares/uso terapéutico

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Quilotórax / Revascularización Miocárdica Tipo de estudio: Etiology_studies Límite: Humans / Male / Middle aged Idioma: En Revista: Ann Thorac Surg Año: 1987 Tipo del documento: Article Pais de publicación: Países Bajos

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