PDF icon PDF herunterladen
Open Access
CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(04): 549-553
DOI: 10.1055/s-0042-1751026
Extremity/Lymphedema
Case Report

Using Lymphovenous Anastomosis and Lymph Node to Vein Anastomosis for Treatment of Posttraumatic Chylothorax with Increased Thoracic Duct Pressure in 3-Year-Old Child

Yeongsong Kim 
1   Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea
,
Hyung B. Kim 
1   Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea
,
Changsik J. Pak 
1   Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea
,
Hyunsuk P. Suh 
1   Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea
,
Joon P. Hong 
1   Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea
› Institutsangaben
Funding None.
› Weitere Informationen
  Lizenzen und Reprints
Preview

Abstract

Chylothorax is a rare disease and massive lymph fluid loss can cause life-threatening condition such as severe malnutrition, weight loss, and impaired immune system. If untreated, mortality rate of chylothorax can be up to 50%. This is a case report of a 3-year-old child with iatrogenic chylothorax. Despite conservative treatment and procedures, like perm catheter insertion, the patient failed to improve the respiratory symptoms over 3 months of period. As an alternative to surgical option, such as pleurodesis and thoracic duct ligation which has high complication rate, the patient underwent lymphovenous anastomosis (LVA) and lymph node to vein anastomosis (LNVA). Follow-up at fourth month showed clear lungs without breathing difficulty despite perm catheter removal. This is the first report to show the effectiveness of LVA and LNVA against iatrogenic chylothorax.

Keywords

Iatrogenic chylothorax - supermicrosurgery - lymphovenous anastomosis - lymph node to vein anastomosis

Author Contributions

Conceptualization, data curation, formal analysis, methodology, visualization: J.P.H. Writing-original draft: Y.K. and H.B.K. Writing-review and editing: H.P.S. and C.J.P.


Patient Consent

Written informed consent was obtained from all the patients.




Publikationsverlauf

Artikel online veröffentlicht:
30. Juli 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA