Document Detail


Chylothorax after thoracoabdominal aneurysm repair: efficacy of somatostatin.
MedLine Citation:
PMID:  20926242     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Chylothorax is a rare but serious complication that presents after thoracoabdominal aortic aneurysm surgery. There are insufficient data to reach a consensus on how to manage it. Some researchers have suggested early reoperation for high output drainage. We present the case of a patient who underwent thoracoabdominal aortic replacement and who subsequently developed postoperative chylothorax. High output (>1,000 mL per day) chest tube drainage until postoperative day 4 drastically decreased and stopped in a week with the administration of somatostatin and total parenteral nutrition which helped avoid a major re-exploration. Surgery should be reserved as an option only for patients with persistent leaks that do not respond to somatostatin therapy.
Authors:
Emrah Oguz; Anil Z Apaydin; Fatih Ayik; Ozlem Balcioglu; Ahmet Dolapoglu
Publication Detail:
Type:  Journal Article     Date:  2010-10-06
Journal Detail:
Title:  Annals of vascular surgery     Volume:  25     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  267.e11-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Cardiovascular Surgery, Ege University Medical School Hospital, Izmir, Turkey.
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