Bilateral thoracic duct ligation for persisting postoperative chylothorax

Benoît Rouiller, Jon A Lutz, Gregor J Kocher, Lennart Magnusson
2020 Interactive Cardiovascular and Thoracic Surgery  
Herein, we report the case of a patient with persistent postoperative chylothorax despite right supradiaphragmal ligation of the thoracic duct. Computed tomography lymphangiography after lipiodol injection demonstrated a correctly ligated right thoracic duct but an anatomical variation with patent left-sided thoracic duct, which was successfully ligated afterwards by video-assisted thoracic surgery.
doi:10.1093/icvts/ivaa128 pmid:33091929 fatcat:tdx5l6aty5h5xj5qawq73y4lkq