Chylothorax: a complication of translumbar aortography

Autor: Charles L. Willmarth, Ferris E. Cook, Paul R. Langelier, Robert A. Flaherty
Rok vydání: 1960
Předmět:
Zdroj: Radiology. 75
ISSN: 0033-8419
Popis: Pulmonary complications of translumbar aortography have been few in number since its popularization as a diagnostic test. McAfee (1), in his Survey of Complications of Abdominal Aortography in 1957, listed symptomatic pneumothorax in 4 cases, symptomatic hemothorax in 3, acute respiratory failure and asthmatic attack in 1 each, and chylothorax in 2 cases. Anatomically, the thoracic duct begins in the abdomen as the cisterna chyli, which is situated on the front of the body of the second lumbar vertebra, to the right of and behind the aorta. It enters the thorax through the aortic hiatus of the diaphragm and ascends through the posterior mediastinum between the aorta and azygos vein. Its diameter is variable and it is usually more easily demonstrated in the cadaver than on the operating table, unless an obstruction is present superiorly. Anterior to the thoracic duct, in the region of aortography, is a recess of the right pleural cavity separating the duct from the pericardium. Thus it is anatomically poss...
Databáze: OpenAIRE