Atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer

Matteo Rottoli, Iris S. Russo, Daniele Bernardi, Luigi Bonavina

Research output: Contribution to journalArticle

Abstract

Chylotorax is a relatively uncommon and difficult to treat complication after esophagectomy for cancer. We report a case of a young adult male who underwent neoadjuvant chemoradiationtherapy followed by Ivor-Lewis esophagectomy for a squamous-cell carcinoma of the distal esophagus. During the postoperative course the patient presented recurrent episodes of hemodynamic instability mimicking cardiac tamponade, secondary to compression of the left pulmonary vein and the left atrium by a mediastinal chylocele. Mediastinal drainage and ligation of the cisterna chyli and the thoracic duct was successfully performed through a transhiatal approach.

Original languageEnglish
Article number9
JournalJournal of Cardiothoracic Surgery
Volume7
Issue number1
DOIs
Publication statusPublished - Jan 24 2012

Keywords

  • Cardiac tamponade
  • Chylotorax
  • Cisterna chyli
  • Esophagectomy
  • Thoracic duct
  • Transhiatal approach

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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