Ligation of the thoracic duct for the treatment of chylothorax in heart diseases.
نویسندگان
چکیده
In children, chylothorax occurs mainly after cardiac and thoracic surgeries. One of the recommended postsurgery treatments is ligation of the thoracic tract, when all other conservative treatments have failed. We report 4 cases of chylothorax in patients who were successfully treated with this approach, which resulted in a decrease in pleural drainage without recurrent chylothorax.
منابع مشابه
Video-assisted right supradiaphragmatic thoracic duct ligation for non-traumatic recurrent chylothorax.
BACKGROUND Chylothorax is an uncommon disorder with respiratory, nutritional and immunological manifestations. Surgical management is indicated in case of recurrence or failure after conservative treatment. We report our experience with video-assisted right-sided supradiaphragmatic thoracic duct ligation for non-traumatic, non-postoperative persistent or recurrent chylothorax. PATIENTS AND ME...
متن کاملVideo-assisted thoracoscopy as an option in the surgical treatment of chylothorax after cardiac surgery in children.
OBJECTIVE To evaluate the use of video-assisted thoracoscopy in the surgical treatment of chylothorax developed after the surgical correction of congenital heart disease in children. METHODS We reviewed the medical charts of 3,092 children who underwent surgery for congenital heart disease between February of 2002 and February of 2007 at the Heart Institute of the University of São Paulo Scho...
متن کاملSupradiaphragmatic thoracic duct clipping for chylothorax through left-sided video-assisted thoracoscopic surgery.
Chylothorax is a life-threatening clinical entity. Traditional surgical management for cases refractory to conservative treatment is thoracic duct ligation through a right open thoracotomy or closure of the site of duct laceration through an open thoracotomy. We report herein two patients with left chylothorax successfully treated by supradiaphragmatic thoracic duct (STD) ligation through left-...
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Chylothorax is a rare but complex disorder in domestic animals. Etiologies include neoplasia, fungal infections, heartworm infestation, cardiac disease, thrombosis of the cranial vena cava, and congenital anomaly of the thoracic duct. Most cases of chylothorax in dogs and cats are idiopathic. Positive contrast lymphangiography on dogs and cats with chylothorax consistently reveals extensive lym...
متن کاملAcute pancreatitis after thoracic duct ligation for iatrogenic chylothorax. A case report
BACKGROUND To report the association between thoracic duct ligation and acute pancreatitis. The association between sudden stop of lymphatic flow and pancreatitis has been established in experimental models. CASE PRESENTATION A 57-year-old woman operated for thymoma presented a iatrogenic chylothorax. After thoracic duct ligation, she presented an acute pancreatitis which resolved after conse...
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ورودعنوان ژورنال:
- Arquivos brasileiros de cardiologia
دوره 81 3 شماره
صفحات -
تاریخ انتشار 2003