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Lymphoscintigraphic localization of a high-output chylus leak after bilateral lung transplantation
Sven Peterss1, Klaus Friedrich Gratz, Nawid Khaladj
1Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Carl-Neuberg-Strasse 1, Hannover, Germany. peterss.sven@mh-hannover.de
Abstract:
We report the case of a 59-year-old man who developed a high-output chylothorax after bilateral lung transplantation. For exact localization of the leak, lymphoscintigraphy was performed before re-thoracotomy by application of Tc-99m-nanocolloid single-photon emission computed tomography (SPECT/CT), which showed a radioactive accumulation in the medial lower thoracic cavity, localized below the right upper pulmonary vein. This technique is actually an overly complex, time-consuming procedure for proper surgical planning in selected cases.