Case Report

A Rare Case of Chylothorax after Heart Transplantation

Table 1


ReferenceAge (yrs)GenderTransplanted organDays after transplantLateralityPrior cardiac surgeryTreatmentOutcome

Bowerman et al. [1]62MaleHeart7LeftAneurysmectomy
Endocardial resection
Chest tube
NPO/feeding tube MCT
No recurrence
Low lymphocyte count 300/mm3
Twomey [2]32MaleHeart18RightNoneChest tube
NPO/TPN
No recurrence
Acute rejection
Shitrit et al. [3]53MaleHeart/lung120BilateralNoneChest tube
Oral low-fat diet
No recurrence
No infection/rejection
Ziedalski et al. [4]50MaleHeart/lung35BilateralNoneChest tube
Oral MCT
IV octreotide
Oral aminocaproic acid
No recurrence
No infection/rejection
27MaleHeart/lung7LeftNoneChest tube
NPO
Left thoracotomy
Duct ligation at the level of carina
No recurrence
No infection/rejection
19MaleHeart/lung10RightNoneChest tube
NPO/TPN
VATS pleurodesis
Right thoracotomy
Supradiaphragmatic duct ligation
No recurrence
No infection/rejection
Berdy et al. [5]47MaleHeart8MediastinalLeft ventricular assist device implant; device exchange after 4 mosMediastinal tube
Oral low-fat diet
No recurrence
No infection/rejection
Present report61FemaleHeart5LeftCoronary artery bypass graftingChest tube
Oral low-fat diet
SC octreotide
NPO/TPN
Thoracic duct embolization
No recurrence
No infection/rejection