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Case Reports
. 2011 Apr;30(4):481-3.
doi: 10.1016/j.healun.2010.10.017. Epub 2010 Dec 18.

Lymphoscintigraphic localization of a high-output chylus leak after bilateral lung transplantation

Sven Peterss  1 , Klaus Friedrich Gratz, Nawid Khaladj, Christian Hagl, Gregor Warnecke, Stefan Fischer, Axel Haverich
Affiliations
Case Reports

Lymphoscintigraphic localization of a high-output chylus leak after bilateral lung transplantation

Sven Peterss et al. J Heart Lung Transplant. 2011 Apr.

Abstract

We report the case of a 59-year-old man who developed a high-output chylothorax after bilateral lung transplantation. For exact localization of the leak, lymphoscintigraphy was performed before re-thoracotomy by application of Tc-99m-nanocolloid single-photon emission computed tomography (SPECT/CT), which showed a radioactive accumulation in the medial lower thoracic cavity, localized below the right upper pulmonary vein. This technique is actually an overly complex, time-consuming procedure for proper surgical planning in selected cases.

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