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An unusual cause of chylothorax after Norwood stage one reconstruction.
- Source :
-
The Thoracic and cardiovascular surgeon [Thorac Cardiovasc Surg] 2009 Mar; Vol. 57 (2), pp. 120-2. Date of Electronic Publication: 2009 Feb 24. - Publication Year :
- 2009
-
Abstract
- We report an unusual cause of prolonged chylothorax drainage after Norwood stage one reconstruction. This 1-month-old girl's chylous drainage was refractory to medical treatment. Echocardiography revealed thrombosis of the superior vena cava. Upon sternotomy to remove the thrombus, we were surprised to find the ePTFE (expanded polytetrafluoroethylene) tube previously used for selective cerebral perfusion compressing the innominate vein and the pericardium-based aortic arch. We performed a superior vena cava thrombectomy and shortened the ePTFE tube. Her chylothorax subsided gradually. We suggest that external compression of the venous drainage system should be considered in patients with prolonged chylothorax drainage. Once medical treatment fails, early surgical exploration may be helpful to stop the chylothorax.
- Subjects :
- Brachiocephalic Trunk surgery
Brachiocephalic Veins diagnostic imaging
Brachiocephalic Veins surgery
Chylothorax diagnostic imaging
Chylothorax surgery
Constriction, Pathologic
Drainage methods
Enteral Nutrition
Female
Humans
Infant, Newborn
Pericardium transplantation
Phlebography
Superior Vena Cava Syndrome diagnostic imaging
Superior Vena Cava Syndrome surgery
Thoracostomy
Tomography, X-Ray Computed
Treatment Outcome
Vascular Patency
Blood Vessel Prosthesis Implantation adverse effects
Cardiac Surgical Procedures adverse effects
Cardiopulmonary Bypass adverse effects
Chylothorax etiology
Hypoplastic Left Heart Syndrome surgery
Superior Vena Cava Syndrome etiology
Subjects
Details
- Language :
- English
- ISSN :
- 0171-6425
- Volume :
- 57
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Thoracic and cardiovascular surgeon
- Publication Type :
- Academic Journal
- Accession number :
- 19241319
- Full Text :
- https://doi.org/10.1055/s-2008-1038668