Chylothorax is a rare complication of adult cardiothoracic surgery that can affect the postoperative course as it can lead to respiratory insufficiency, protein loss, fluid imbalance, and immunodeficiency. We report the case of a 51-year-old man who developed a persistent high-flow chylothorax after replacement of the descending thoracic aorta for an aneurysm. After a week of complete oral intake cessation and total parenteral nutrition, we started administration of octreotide, a somatostatin analog. It led to rapid cessation of chyle production, and the patient was discharged without further complications and chylothorax relapses.

Administration of Octreotide for Management of Postoperative High-Flow Chylothorax / F. Barili, G. Polvani, V.K. Topkara, L. Dainese, M. Roberto, E. Aljaber, M. Bettoni, F.H. Cheema, P. Trabattuni, A. Parolapi, R. Spirito, P. Biglioli. - In: ANNALS OF VASCULAR SURGERY. - ISSN 0890-5096. - 21:1(2007), pp. 90-92.

Administration of Octreotide for Management of Postoperative High-Flow Chylothorax

F. Barili;G. Polvani;M. Roberto;E. Aljaber;F.H. Cheema;P. Biglioli
2007

Abstract

Chylothorax is a rare complication of adult cardiothoracic surgery that can affect the postoperative course as it can lead to respiratory insufficiency, protein loss, fluid imbalance, and immunodeficiency. We report the case of a 51-year-old man who developed a persistent high-flow chylothorax after replacement of the descending thoracic aorta for an aneurysm. After a week of complete oral intake cessation and total parenteral nutrition, we started administration of octreotide, a somatostatin analog. It led to rapid cessation of chyle production, and the patient was discharged without further complications and chylothorax relapses.
Aortic Aneurysm, Thoracic; Chylothorax; Combined Modality Therapy; Drainage; Gastrointestinal Agents; Humans; Male; Middle Aged; Octreotide; Parenteral Nutrition, Total; Postoperative Complications; Surgery; Cardiology and Cardiovascular Medicine
Settore MED/23 - Chirurgia Cardiaca
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/560873
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