A Unique Shunt For Treatment Of A Postoperative Chylothorax

Authors

  • Rita Costa Department of Cardiothoracic Surgery, University Hospital Center of São João, EPE, Porto, Portugal https://orcid.org/0000-0001-7831-8711
  • Tiago Magalhães Department of Pediatrics, University Hospital Center of São João, EPE, Porto, Portugal
  • Gustavo Rocha Neonatal Intensive Care Unit, University Hospital Center of São João, EPE, Porto, Portugal
  • Pedro Fernandes Department of Cardiothoracic Surgery, University Hospital Center of São João, EPE, Porto, Portugal
  • Elson Salgueiro Department of Cardiothoracic Surgery, University Hospital Center of São João, EPE, Porto, Portugal

DOI:

https://doi.org/10.48729/pjctvs.304

Keywords:

Chylothorax, Shunt pleuroperitoneal, Pediatric

Abstract

Postoperative chylothorax can be a serious complication. We report on the case of a neonate who had a postoperative chylothorax immediately after esophageal surgery that did not respond to conservative measures or the first two attempts of surgical management of chylothorax. Lastly, a successful pleuroperitoneal shunt was placed and the patient was discharge at 3-months-old. A pleuroperitoneal shunt is usually the last surgical option but may be a curative measure.

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References

Costa KM, Saxena AK. Surgical chylothorax in neonates: management and outcomes. World J Pediatr. 2018 Apr;14(2):110-115. doi: 10.1007/s12519-018-0134-x.

Soto-Martinez M, Massie J. Chylothorax: diagnosis and management in children. Paediatr Respir Rev. 2009 Dec;10(4):199-207. doi: 10.1016/j.prrv.2009.06.008.

Shiraga K, Terui K, Ishihara K, Shibuya K, Saito E et al. Pleuroperitoneal shunt for refractory chylothorax accompanied with a mediastinal lymphangioma: a case report. Ann Thorac Cardiovasc Surg. 2014;20 Sup- pl:654-8. doi: 10.5761/atcs.cr.12-02244.

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Published

05-10-2022

How to Cite

1.
Costa R, Magalhães T, Rocha G, Fernandes P, Salgueiro E. A Unique Shunt For Treatment Of A Postoperative Chylothorax. Rev Port Cir Cardiotorac Vasc [Internet]. 2022 Oct. 5 [cited 2024 Nov. 23];29(3):63-5. Available from: https://pjctvs.com/index.php/journal/article/view/304

Issue

Vol. 29 No. 3 (2022): Jul - Sep

Section

Clinical Cases

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.