Conservative treatment of postoperative chylothorax with octreotide.

Autor: Gabbieri D; Division of Cardiovascular Surgery, Department of Cardiovascular and Thoracic Surgery, Hesperia Hospital, Modena, Italy. dgabbieri@yahoo.it, Bavutti L, Zacà F, Turinetto B, Ghidoni I
Jazyk: angličtina
Zdroj: Italian heart journal : official journal of the Italian Federation of Cardiology [Ital Heart J] 2004 Jun; Vol. 5 (6), pp. 479-82.
Abstrakt: Chylothorax is a rare but serious and well-recognized complication of general thoracic and cardiac procedures. No new invasive or non-invasive definitive therapies are available. This article reports the case of a 67-year-old woman who underwent myocardial revascularization and who developed a postoperative chylothorax necessitating continuous drainage and conservative management. When after 1 week this treatment still had not resolved the chylothorax, octreotide was instituted, leading to a rapid cessation of chyle production and rendering surgical management of this complication unnecessary.
Databáze: MEDLINE