Case Report
A Rare Case of Chylothorax after Heart Transplantation
| Reference | Age (yrs) | Gender | Transplanted organ | Days after transplant | Laterality | Prior cardiac surgery | Treatment | Outcome |
| Bowerman et al. [1] | 62 | Male | Heart | 7 | Left | Aneurysmectomy Endocardial resection | Chest tube NPO/feeding tube MCT | No recurrence Low lymphocyte count 300/mm3 | Twomey [2] | 32 | Male | Heart | 18 | Right | None | Chest tube NPO/TPN | No recurrence Acute rejection | Shitrit et al. [3] | 53 | Male | Heart/lung | 120 | Bilateral | None | Chest tube Oral low-fat diet | No recurrence No infection/rejection | Ziedalski et al. [4] | 50 | Male | Heart/lung | 35 | Bilateral | None | Chest tube Oral MCT IV octreotide Oral aminocaproic acid | No recurrence No infection/rejection | | 27 | Male | Heart/lung | 7 | Left | None | Chest tube NPO Left thoracotomy Duct ligation at the level of carina | No recurrence No infection/rejection | | 19 | Male | Heart/lung | 10 | Right | None | Chest tube NPO/TPN VATS pleurodesis Right thoracotomy Supradiaphragmatic duct ligation | No recurrence No infection/rejection | Berdy et al. [5] | 47 | Male | Heart | 8 | Mediastinal | Left ventricular assist device implant; device exchange after 4 mos | Mediastinal tube Oral low-fat diet | No recurrence No infection/rejection | Present report | 61 | Female | Heart | 5 | Left | Coronary artery bypass grafting | Chest tube Oral low-fat diet SC octreotide NPO/TPN Thoracic duct embolization | No recurrence No infection/rejection |
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