Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Surgical Reconstruction for High-Output Chylothorax Associated with Thrombo-Occlusion of Superior Vena Cava and Left Innominate vein in a Neonate

  • Ok, You Jung (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Young-Hwue (Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Chun Soo (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2017.09.28
  • Accepted : 2017.10.23
  • Published : 2018.06.05
Download PDF
⟨ Previous Next ⟩

Abstract

We report a case of high-output chylothorax associated with thrombo-occlusion of the superior vena cava (SVC) and left innominate vein (LIV) following an arterial switch operation in a neonate. The chylothorax was resolved by 3 weeks after surgical reconstruction of the SVC and LIV using fresh autologous pericardium. We confirmed the patency of the SVC and LIV with a 1-year follow-up computed tomographic scan at our outpatient clinic.

Keywords

References

  1. Mery CM, Moffett BS, Khan MS, et al. Incidence and treatment of chylothorax after cardiac surgery in children: analysis of a large multi-institution database. J Thorac Cardiovasc Surg 2014;147:678-86. https://doi.org/10.1016/j.jtcvs.2013.09.068
  2. Bauman ME, Moher C, Bruce AK, Kuhle S, Kaur S, Massicotte MP. Chylothorax in children with congenital heart disease: incidence of thrombosis. Thromb Res 2013;132:e83-5. https://doi.org/10.1016/j.thromres.2013.06.014
  3. Yang JY, Chan AK. Pediatric thrombophilia. Pediatr Clin North Am 2013;60:1443-62. https://doi.org/10.1016/j.pcl.2013.09.004
  4. Tzifa A, Marshall AC, McElhinney DB, Lock JE, Geggel RL. Endovascular treatment for superior vena cava occlusion or obstruction in a pediatric and young adult population: a 22-year experience. J Am Coll Cardiol 2007;49:1003-9. https://doi.org/10.1016/j.jacc.2006.10.060
  5. Law MA, McMahon WS, Hock KM, Zaccagni HJ, Borasino S, Alten JA. Balloon angioplasty for the treatment of left innominate vein obstruction related chylothorax after congenital heart surgery. Congenit Heart Dis 2015;10:E155-63. https://doi.org/10.1111/chd.12246
  6. Kumar TK, Subramanian S, Sathanandam S, Alexander J, Ali M, Knott-Craig CJ. Superior vena cava reconstruction for treatment of chylothorax resulting from thrombosis of superior vena cava in young infants. Ann Thorac Surg 2015;100:1432-6. https://doi.org/10.1016/j.athoracsur.2015.06.021