2023年4月20日 · Chylothorax is a rare but potentially life-threatening condition if left untreated. Surgery is the most common cause, but anything that blocks or damages your thoracic duct can also cause it. Temporary diet changes, IV nutrition and medications can successfully treat chylothorax in many people.

Chylothorax is the accumulation of chyle in the pleural space. Chylothorax can be due to many etiologies, which are classified as nontraumatic (usually the result of malignancy, congenital conditions, or infection) and traumatic (usually the result of surgery or nonsurgical trauma).

2024年7月28日 · The procedure is performed by placing a chest tube for drainage through video-assisted thoracic surgery (VATS) with talc insufflation, which can be effective in up to 80% of chylothorax cases. Additionally, concomitant ligation of the thoracic duct during surgical pleurodesis can further enhance success by preventing additional chyle formation.

The most frequent causes of chylothorax today are surgery and tumors. Clinically, chylothorax manifests non-specifically as a pleural effusion, typically with a triglyceride content of over 110 mg/dL. The diagnosis is confirmed by demonstrating the presence of chylomicrons in the aspirate. As a rule, conservative treatment is tried first.

2022年12月16日 · Thoracic surgery involving the heart, aorta, esophagus, and subclavian vessels is the most common cause of iatrogenic chylothorax. 11-29 Noniatrogenic traumatic causes include penetrating trauma from a stab or gunshot wound, blunt thoracic trauma, thoracic spine fractures, stretching, violent coughing and sneezing, and seat belt use. 9,10 ...

2024年5月28日 · Patients with chylothorax may be treated via conservative measures, using interventional methods, or with surgery.

2016年6月1日 · Chylothorax is the common manifestation of injury to the thoracic duct secondary to non-surgical trauma, surgical trauma, or malignancy, and associated with a 10% mortality rate. Approximately half of patients with chylothorax respond to non-surgical management typically entailing a combination of pleural drainage, NPO, TPN, diuresis and ...

Postoperative chylothorax after cardiothoracic surgery in children. Ann Thorac Surg. 2005; 80(5):1864-1870. doi:10.1016/j.athoracsur.2005.04.048. Hoskote AU, Ramaiah RN, Cale CM, Hartley JC, Brown KL. Role of immunoglobulin supplementation for secondary immunodeficiency associated with chylothorax after pediatric cardiothoracic surgery.

The world literature on chylothorax is reviewed and the embryology, anatomy, and physiology of the thoracic duct system are detailed. The various types of chylothorax are classified and the diagnostic methods and treatment for each type described.

Thoracic duct ligation is the treatment of choice for high output or recurrent chylothorax with a 96 % success rate. Surgical pleurodesis is effective in some cases and may be an option for marginal patients.