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Case Reports
. 2018 May 1;53(5):1093-1094.
doi: 10.1093/ejcts/ezx443.

Anastomosis of the thoracic duct and the azygos vein for the treatment of recurrent chylothoraxes

Hexiao Tang  1 , Yuquan Bai  1 , Wulin Shen  1 , Jinping Zhao  1
Affiliations
Case Reports

Anastomosis of the thoracic duct and the azygos vein for the treatment of recurrent chylothoraxes

Hexiao Tang et al. Eur J Cardiothorac Surg. .

Abstract

Thoracic duct ligation is a widely accepted treatment option for chylothorax. This case report describes another treatment approach for recurrent chylothoraxes after thoracic duct ligation. A 40-year-old woman had chylothoraxes after thoracic duct ligation. She underwent a secondary surgery to ligate the thoracic duct. Three days later, the number of chylothoraxes increased compared with presurgery, and we anastomosed the thoracic duct and azygos vein after releasing the thoracic duct ligation. The patient recovered smoothly and was followed up for 2 years. This case shows that anastomosis of the thoracic duct and azygos vein is an alternative surgical approach to treat recurrent chylothoraxes.

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Comment in

  • Chylothorax, new insights in treatment.
    Papoulidis P, Vidanapathirana P, Dunning J. Papoulidis P, et al. J Thorac Dis. 2018 Nov;10(Suppl 33):S3976-S3977. doi: 10.21037/jtd.2018.09.94. J Thorac Dis. 2018. PMID: 30631531 Free PMC article. No abstract available.

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