A Case of Completely Thoracoscopic Surgery for Chylothorax after Ascending Aorta and Aortic Arch Replacement
A 66-year-old woman attended our hospital for ascending aortic aneurysm. She was admitted with sudden back pain and acute aortic dissection of Stanford type B was revealed by computed tomography. We performed replacement of the ascending aorta and aortic arch with the frozen elephant trunk technique...
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| Veröffentlicht in: | Japanese Journal of Cardiovascular Surgery 2019/07/15, Vol.48(4), pp.272-276 |
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| container_end_page | 276 |
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| container_issue | 4 |
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| container_title | Japanese Journal of Cardiovascular Surgery |
| container_volume | 48 |
| creator | Nakagaki, Shota Ueda, Tetsuyuki Sotokawa, Masami Murata, Akira Otaka, Shingo Tani, Kazuhiro |
| description | A 66-year-old woman attended our hospital for ascending aortic aneurysm. She was admitted with sudden back pain and acute aortic dissection of Stanford type B was revealed by computed tomography. We performed replacement of the ascending aorta and aortic arch with the frozen elephant trunk technique. The left pleural drainage fluid turned cloudy white after diet initiation on postoperative day 2. We diagnosed chylothorax with biochemical analysis and stopped oral intake completely, but the drainage increased to 3,700 ml/day. On postoperative day 8, completely thoracoscopic ligation of thoracic duct was performed. The drainage decreased immediately after the procedure. She could start meals on postoperative day 12 and was discharged on postoperative day 22. We conclude that a completely thoracoscopic ligation of thoracic duct for persistent chylothorax after aortic surgery can lead to early resolution. |
| doi_str_mv | 10.4326/jjcvs.48.272 |
| format | Article |
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She was admitted with sudden back pain and acute aortic dissection of Stanford type B was revealed by computed tomography. We performed replacement of the ascending aorta and aortic arch with the frozen elephant trunk technique. The left pleural drainage fluid turned cloudy white after diet initiation on postoperative day 2. We diagnosed chylothorax with biochemical analysis and stopped oral intake completely, but the drainage increased to 3,700 ml/day. On postoperative day 8, completely thoracoscopic ligation of thoracic duct was performed. The drainage decreased immediately after the procedure. She could start meals on postoperative day 12 and was discharged on postoperative day 22. We conclude that a completely thoracoscopic ligation of thoracic duct for persistent chylothorax after aortic surgery can lead to early resolution.</description><identifier>ISSN: 0285-1474</identifier><identifier>EISSN: 1883-4108</identifier><identifier>DOI: 10.4326/jjcvs.48.272</identifier><language>eng ; jpn</language><publisher>The Japanese Society for Cardiovascular Surgery</publisher><subject>aortic arch replacement ; chylothorax ; completely thoracoscopic surgery ; postoperative complication</subject><ispartof>Japanese Journal of Cardiovascular Surgery, 2019/07/15, Vol.48(4), pp.272-276</ispartof><rights>2019 The Japanese Society for Cardiovascular Surgery</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1312-63cc4edac1bdddc8f2f18dccbc19d8e9113e7bda3aae6e971b7ef51818184d4c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,1877,27905,27906</link.rule.ids></links><search><creatorcontrib>Nakagaki, Shota</creatorcontrib><creatorcontrib>Ueda, Tetsuyuki</creatorcontrib><creatorcontrib>Sotokawa, Masami</creatorcontrib><creatorcontrib>Murata, Akira</creatorcontrib><creatorcontrib>Otaka, Shingo</creatorcontrib><creatorcontrib>Tani, Kazuhiro</creatorcontrib><title>A Case of Completely Thoracoscopic Surgery for Chylothorax after Ascending Aorta and Aortic Arch Replacement</title><title>Japanese Journal of Cardiovascular Surgery</title><addtitle>J. J. C. V. S.</addtitle><description>A 66-year-old woman attended our hospital for ascending aortic aneurysm. She was admitted with sudden back pain and acute aortic dissection of Stanford type B was revealed by computed tomography. We performed replacement of the ascending aorta and aortic arch with the frozen elephant trunk technique. The left pleural drainage fluid turned cloudy white after diet initiation on postoperative day 2. We diagnosed chylothorax with biochemical analysis and stopped oral intake completely, but the drainage increased to 3,700 ml/day. On postoperative day 8, completely thoracoscopic ligation of thoracic duct was performed. The drainage decreased immediately after the procedure. She could start meals on postoperative day 12 and was discharged on postoperative day 22. We conclude that a completely thoracoscopic ligation of thoracic duct for persistent chylothorax after aortic surgery can lead to early resolution.</description><subject>aortic arch replacement</subject><subject>chylothorax</subject><subject>completely thoracoscopic surgery</subject><subject>postoperative complication</subject><issn>0285-1474</issn><issn>1883-4108</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNpFkN1Kw0AQhRdRsGjvfIB9AFMz2W2yvZIQ_IOCoPU6bGZnm5Q0W3ajmLe3aUtlLmbgfGfgHMbuIJ5JkaQPmw3-hJlUsyRLLtgElBKRhFhdskmcqHkEMpPXbBpCU8VxkmYQg5ywNueFDsSd5YXb7lrqqR34qnZeowvodg3yz2-_Jj9w6zwv6qF1_Sj_cm178jwPSJ1pujXPne811505XHtj7rHmH7RrNdKWuv6WXVndBpqe9g37en5aFa_R8v3lrciXEYKAJEoFoiSjESpjDCqbWFAGsUJYGEULAEFZZbTQmlJaZFBlZOegxpFGorhh98e_6F0Inmy5881W-6GEuBzLKg9llVKV-7L2-OMR34Rer-kM6zFES_-wPDnOCtbal9SJP91fd90</recordid><startdate>20190715</startdate><enddate>20190715</enddate><creator>Nakagaki, Shota</creator><creator>Ueda, Tetsuyuki</creator><creator>Sotokawa, Masami</creator><creator>Murata, Akira</creator><creator>Otaka, Shingo</creator><creator>Tani, Kazuhiro</creator><general>The Japanese Society for Cardiovascular Surgery</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20190715</creationdate><title>A Case of Completely Thoracoscopic Surgery for Chylothorax after Ascending Aorta and Aortic Arch Replacement</title><author>Nakagaki, Shota ; Ueda, Tetsuyuki ; Sotokawa, Masami ; Murata, Akira ; Otaka, Shingo ; Tani, Kazuhiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1312-63cc4edac1bdddc8f2f18dccbc19d8e9113e7bda3aae6e971b7ef51818184d4c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; jpn</language><creationdate>2019</creationdate><topic>aortic arch replacement</topic><topic>chylothorax</topic><topic>completely thoracoscopic surgery</topic><topic>postoperative complication</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakagaki, Shota</creatorcontrib><creatorcontrib>Ueda, Tetsuyuki</creatorcontrib><creatorcontrib>Sotokawa, Masami</creatorcontrib><creatorcontrib>Murata, Akira</creatorcontrib><creatorcontrib>Otaka, Shingo</creatorcontrib><creatorcontrib>Tani, Kazuhiro</creatorcontrib><collection>CrossRef</collection><jtitle>Japanese Journal of Cardiovascular Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakagaki, Shota</au><au>Ueda, Tetsuyuki</au><au>Sotokawa, Masami</au><au>Murata, Akira</au><au>Otaka, Shingo</au><au>Tani, Kazuhiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Case of Completely Thoracoscopic Surgery for Chylothorax after Ascending Aorta and Aortic Arch Replacement</atitle><jtitle>Japanese Journal of Cardiovascular Surgery</jtitle><addtitle>J. J. C. V. S.</addtitle><date>2019-07-15</date><risdate>2019</risdate><volume>48</volume><issue>4</issue><spage>272</spage><epage>276</epage><pages>272-276</pages><issn>0285-1474</issn><eissn>1883-4108</eissn><abstract>A 66-year-old woman attended our hospital for ascending aortic aneurysm. She was admitted with sudden back pain and acute aortic dissection of Stanford type B was revealed by computed tomography. We performed replacement of the ascending aorta and aortic arch with the frozen elephant trunk technique. The left pleural drainage fluid turned cloudy white after diet initiation on postoperative day 2. We diagnosed chylothorax with biochemical analysis and stopped oral intake completely, but the drainage increased to 3,700 ml/day. On postoperative day 8, completely thoracoscopic ligation of thoracic duct was performed. The drainage decreased immediately after the procedure. She could start meals on postoperative day 12 and was discharged on postoperative day 22. We conclude that a completely thoracoscopic ligation of thoracic duct for persistent chylothorax after aortic surgery can lead to early resolution.</abstract><pub>The Japanese Society for Cardiovascular Surgery</pub><doi>10.4326/jjcvs.48.272</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Japanese Journal of Cardiovascular Surgery, 2019/07/15, Vol.48(4), pp.272-276 |
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| language | eng ; jpn |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese |
| subjects | aortic arch replacement chylothorax completely thoracoscopic surgery postoperative complication |
| title | A Case of Completely Thoracoscopic Surgery for Chylothorax after Ascending Aorta and Aortic Arch Replacement |
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