scholarly journals Primary Chylopericardium Treated with Video-assisted Thoracoscopic Thoracic Duct Clipping and Pericardial Fenestration—A Case Report—

2019 ◽  
Vol 80 (10) ◽  
pp. 1824-1830
Author(s):  
Yusuke NAKAMURA ◽  
Shunsuke YAMADA ◽  
Atsushi SUGA ◽  
Haruka TAKEICHI ◽  
Tomoki NAKAGAWA ◽  
...  
1996 ◽  
Vol 10 (7) ◽  
pp. 789-792
Author(s):  
Masahiko Muro ◽  
Mitsuo Narusue ◽  
Hitosi Kin ◽  
Toshihide Ohsaki ◽  
Kenji Uda ◽  
...  

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tomoyuki Ishida ◽  
Jun Kanamori ◽  
Hiroyuki Daiko

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.


2009 ◽  
Vol 17 (5) ◽  
pp. 480-482 ◽  
Author(s):  
Georgios P Georghiou ◽  
Eyal Porat ◽  
Avi Fuks ◽  
Bernardo A Vidne ◽  
Milton Saute

Delayed-onset pericardial effusion following cardiac surgery can give rise to significant morbidity due to its presentation as well as management by traditional surgical techniques. An institutional experience of a video-assisted thoracoscopic technique to create a pericardial window, with the advantages of a minimally invasive approach combined with excellent visualization in such patients, was reviewed. A retrospective analysis was conducted on all patients undergoing video-assisted thoracoscopic for delayed pericardial effusion after cardiac surgery from January 2001 to January 2006 at our center. Seven patients with echocardiographically diagnosed delayed tamponade underwent video-assisted thoracoscopy; 5 were receiving anticoagulants after valve replacement, and 2 had undergone heart transplantation. Pericardial windows were created under general anesthesia and single-lung ventilation using 2 to 3 trocars. Mean operative time was 45 min. There were no complications of the thoracoscopic technique. Video-assisted thoracoscopic creation of a pericardial window is safe and effective treatment for loculated pericardial effusions secondary to cardiac surgery.


Author(s):  
Naoki Enomoto ◽  
Ryo Oono ◽  
Yuichi Kumaki ◽  
Takahiro Irie ◽  
Kyoko Higuchi ◽  
...  

2021 ◽  
Vol 15 (2) ◽  
pp. 207
Author(s):  
CamilaBiazussi Damasceno ◽  
MarinaAyres Delgado ◽  
PaulaAlves Pinheiro ◽  
IsadoraMegale Quadros

2000 ◽  
Vol 17 (6) ◽  
pp. 754-756 ◽  
Author(s):  
Alexandros Karajiannis ◽  
Thorsten Krueger ◽  
Eduard Stauffer ◽  
Hans-Beat Ris

Sign in / Sign up

Export Citation Format

Share Document