Thoracic duct-azygos vein anastomosis in an infant with superior vena cava syndrome and recurrent chylothorax

Geoffroy de Beco; Joëlle Van Winghem; Benoît Lengelé; Alain J Poncelet

doi:10.1093/icvts/ivaa090

Thoracic duct-azygos vein anastomosis in an infant with superior vena cava syndrome and recurrent chylothorax

Interact Cardiovasc Thorac Surg. 2020 Aug 1;31(2):280-281. doi: 10.1093/icvts/ivaa090.

Authors

Geoffroy de Beco¹, Joëlle Van Winghem², Benoît Lengelé³, Alain J Poncelet¹

Affiliations

¹ Department of Cardiovascular and Thoracic Surgery, Université Catholique de Louvain (UCLouvain), Cliniques Universitaires Saint-Luc, Brussels, Belgium.
² Department of Paediatrics, Université Catholique de Louvain (UCLouvain), Cliniques Universitaires Saint-Luc, Brussels, Belgium.
³ Department of Plastic and Reconstructive Surgery, Université Catholique de Louvain (UCLouvain), Cliniques Universitaires Saint-Luc, Brussels, Belgium.

PMID: 32638016
DOI: 10.1093/icvts/ivaa090

Abstract

In this study, we describe an intrathoracic microsurgical lymphatico-venous anastomosis as an alternative surgical technique for the treatment of refractory chylothorax in an infant. This procedure allowed us to restore enteral nutrition within days of surgery. At 3-year follow-up, there was no recurrence of pleural effusion.

Keywords: Chylothorax; Infant; Surgery; Thrombosis; Venous.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Anastomosis, Surgical
Azygos Vein / surgery*
Chylothorax / diagnosis
Chylothorax / surgery*
Computed Tomography Angiography
Female
Humans
Infant, Newborn
Recurrence
Superior Vena Cava Syndrome / diagnosis
Superior Vena Cava Syndrome / surgery*
Thoracic Duct / surgery*
Vascular Surgical Procedures / methods*