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Chylothorax after heart/lung transplantation.
Authors:Tomasz M Ziedalski  Thomas A Raffin  Daniel Y Sze  John D Mitchell  Robert C Robbins  James Theodore  John L Faul
Affiliation:Division of Pulmonary and Critical Care Medicine, Stanford University Medical Center, Stanford, California 94305, USA.
Abstract:Chylothorax is a potentially serious complication of lung and heart-lung transplantation. This article describes the clinical course of chylothorax in 3 heart-lung allograft recipients. We discuss management options, including dietary modifications, octreotide infusion, thoracic duct ligation and embolization, and surgical pleurodesis. In addition, we describe the novel use of aminocaproic acid to reduce lymph flow. We propose a multidisciplinary approach for the management of chylothorax that includes both medical and surgical options.
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