Skip to main content
Top
Published in: General Thoracic and Cardiovascular Surgery 6/2018

01-06-2018 | Case Report

Chylothorax post thoracoscopic surgery for an anterior mediastinal tumor

Authors: Hironori Ishibashi, Yuya Ishikawa, Ayaka Asakawa, Sachiko Imai, Masashi Kobayashi, Kenichi Okubo

Published in: General Thoracic and Cardiovascular Surgery | Issue 6/2018

Login to get access

Abstract

Chylothorax after anterior mediastinal surgery is rare. We treated a 39-year-old woman who presented with progressive dyspnea over 6 months. Chest computed tomography revealed a 12-cm round mass in the right anterior mediastinum. She underwent video-assisted thoracoscopic surgery for successful excision of the tumor; however, the surgery was complicated by the development of chylothorax. It was treated surgically with no recurrence of the tumor and/or chylothorax for 2 years. Chylothorax should be recognized as a postsurgical complication of anterior mediastinal tumors.
Literature
1.
go back to reference Ibi T, Hirai K, Takeuchi S, Bessho R, Kawamoto M, Shuji H, et al. Mature teratoma of the posterior mediastinum: report of a case. Gen Thorac Cardiovasc Surg. 2013;61:655–8.CrossRefPubMed Ibi T, Hirai K, Takeuchi S, Bessho R, Kawamoto M, Shuji H, et al. Mature teratoma of the posterior mediastinum: report of a case. Gen Thorac Cardiovasc Surg. 2013;61:655–8.CrossRefPubMed
2.
go back to reference Bryant A, Minnich D, Wei B, Cerfolio RJ. The incidence and management of postoperative chylothorax after pulmonary resection and thoracic mediastinal lymph node dissection. Ann Thorac Surg. 2014;98:232–7.CrossRefPubMed Bryant A, Minnich D, Wei B, Cerfolio RJ. The incidence and management of postoperative chylothorax after pulmonary resection and thoracic mediastinal lymph node dissection. Ann Thorac Surg. 2014;98:232–7.CrossRefPubMed
3.
go back to reference Huang CS, Hsu HS, Kao KP, Hsieh CC, Wu YC, Hsu WH, et al. Chylothorax following extended thymectomy for myasthenia gravis. Thorac Cardiovasc Surg. 2007;55:274–6.CrossRefPubMed Huang CS, Hsu HS, Kao KP, Hsieh CC, Wu YC, Hsu WH, et al. Chylothorax following extended thymectomy for myasthenia gravis. Thorac Cardiovasc Surg. 2007;55:274–6.CrossRefPubMed
4.
go back to reference Deguchi K, Yamauchi T, Maeda S, Takeuchi M, Kin K, Takano H. Chylothorax after coronary artery bypass grafting using the right internal thoracic artery. Gen Thorac Cardiovasc Surg. 2015;63:416–21.CrossRefPubMed Deguchi K, Yamauchi T, Maeda S, Takeuchi M, Kin K, Takano H. Chylothorax after coronary artery bypass grafting using the right internal thoracic artery. Gen Thorac Cardiovasc Surg. 2015;63:416–21.CrossRefPubMed
5.
go back to reference Kausel WH, Reeve TS, Stain AA. Anatomic and pathologic studies of the thoracic duct. J Thorac Cardiovasc Surg. 1957;34:631. Kausel WH, Reeve TS, Stain AA. Anatomic and pathologic studies of the thoracic duct. J Thorac Cardiovasc Surg. 1957;34:631.
6.
go back to reference Fraser RG, Pare JAP. Diagnosis of disease of the chest. 2nd ed. Philadelphia: Saunders; 1978. Fraser RG, Pare JAP. Diagnosis of disease of the chest. 2nd ed. Philadelphia: Saunders; 1978.
7.
go back to reference Mafé JJ, Caravajal JM, Baschwitz B, Rodríguez Paniagua JM. Bilateral chylothorax after thymectomy via median sternotomy and resolution through conservative treatment. Eur J Cardiothorac Surg. 2003;24:466–8.CrossRefPubMed Mafé JJ, Caravajal JM, Baschwitz B, Rodríguez Paniagua JM. Bilateral chylothorax after thymectomy via median sternotomy and resolution through conservative treatment. Eur J Cardiothorac Surg. 2003;24:466–8.CrossRefPubMed
8.
go back to reference Shimizu K, Yoshida J, Nishimura M, Takamochi K, Nakahara R, Nagai K. Treatment strategy for chylothorax after pulmonary resection and lymph node dissection for lung cancer. J Thorac Cardiovasc Surg. 2002;124:499–502.CrossRefPubMed Shimizu K, Yoshida J, Nishimura M, Takamochi K, Nakahara R, Nagai K. Treatment strategy for chylothorax after pulmonary resection and lymph node dissection for lung cancer. J Thorac Cardiovasc Surg. 2002;124:499–502.CrossRefPubMed
Metadata
Title
Chylothorax post thoracoscopic surgery for an anterior mediastinal tumor
Authors
Hironori Ishibashi
Yuya Ishikawa
Ayaka Asakawa
Sachiko Imai
Masashi Kobayashi
Kenichi Okubo
Publication date
01-06-2018
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 6/2018
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-017-0865-y

Other articles of this Issue 6/2018

General Thoracic and Cardiovascular Surgery 6/2018 Go to the issue