Cargando…

Dual imaging lymphangiography guided treatment of infantile chylothorax

Chylothorax is a potentially fatal postoperative complication of neck, thoracic, and abdominal surgery in children. We report the case of a 3-month-old infant who developed persistent chylothorax with respiratory insufficiency successfully managed using a microsurgical technique and intraoperative e...

Descripción completa

Detalles Bibliográficos
Autores principales: Mitsui, Kohei, Narushima, Mitsunaga, Ishiura, Ryohei, Danno, Kanako, Sakakura, Yosuke, Banda, Chihena H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8346552/
https://www.ncbi.nlm.nih.gov/pubmed/34386679
http://dx.doi.org/10.1016/j.jvscit.2021.06.007
_version_ 1783734899922960384
author Mitsui, Kohei
Narushima, Mitsunaga
Ishiura, Ryohei
Danno, Kanako
Sakakura, Yosuke
Banda, Chihena H.
author_facet Mitsui, Kohei
Narushima, Mitsunaga
Ishiura, Ryohei
Danno, Kanako
Sakakura, Yosuke
Banda, Chihena H.
author_sort Mitsui, Kohei
collection PubMed
description Chylothorax is a potentially fatal postoperative complication of neck, thoracic, and abdominal surgery in children. We report the case of a 3-month-old infant who developed persistent chylothorax with respiratory insufficiency successfully managed using a microsurgical technique and intraoperative embolotherapy. This was achieved using a combination of intermittent digital X rays and live near-infrared fluorescence imaging we have termed “dual imaging lymphangiography” to guide therapy in real time. The chylothorax resolved and the patient returned to normal diet without recurrence. This microsurgical approach with dual imaging lymphangiography provides a useful tool for intraoperative visualization and treatment of complicated chylothoraces.
format Online
Article
Text
id pubmed-8346552
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-83465522021-08-11 Dual imaging lymphangiography guided treatment of infantile chylothorax Mitsui, Kohei Narushima, Mitsunaga Ishiura, Ryohei Danno, Kanako Sakakura, Yosuke Banda, Chihena H. J Vasc Surg Cases Innov Tech Case report Chylothorax is a potentially fatal postoperative complication of neck, thoracic, and abdominal surgery in children. We report the case of a 3-month-old infant who developed persistent chylothorax with respiratory insufficiency successfully managed using a microsurgical technique and intraoperative embolotherapy. This was achieved using a combination of intermittent digital X rays and live near-infrared fluorescence imaging we have termed “dual imaging lymphangiography” to guide therapy in real time. The chylothorax resolved and the patient returned to normal diet without recurrence. This microsurgical approach with dual imaging lymphangiography provides a useful tool for intraoperative visualization and treatment of complicated chylothoraces. Elsevier 2021-07-01 /pmc/articles/PMC8346552/ /pubmed/34386679 http://dx.doi.org/10.1016/j.jvscit.2021.06.007 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Mitsui, Kohei
Narushima, Mitsunaga
Ishiura, Ryohei
Danno, Kanako
Sakakura, Yosuke
Banda, Chihena H.
Dual imaging lymphangiography guided treatment of infantile chylothorax
title Dual imaging lymphangiography guided treatment of infantile chylothorax
title_full Dual imaging lymphangiography guided treatment of infantile chylothorax
title_fullStr Dual imaging lymphangiography guided treatment of infantile chylothorax
title_full_unstemmed Dual imaging lymphangiography guided treatment of infantile chylothorax
title_short Dual imaging lymphangiography guided treatment of infantile chylothorax
title_sort dual imaging lymphangiography guided treatment of infantile chylothorax
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8346552/
https://www.ncbi.nlm.nih.gov/pubmed/34386679
http://dx.doi.org/10.1016/j.jvscit.2021.06.007
work_keys_str_mv AT mitsuikohei dualimaginglymphangiographyguidedtreatmentofinfantilechylothorax
AT narushimamitsunaga dualimaginglymphangiographyguidedtreatmentofinfantilechylothorax
AT ishiuraryohei dualimaginglymphangiographyguidedtreatmentofinfantilechylothorax
AT dannokanako dualimaginglymphangiographyguidedtreatmentofinfantilechylothorax
AT sakakurayosuke dualimaginglymphangiographyguidedtreatmentofinfantilechylothorax
AT bandachihenah dualimaginglymphangiographyguidedtreatmentofinfantilechylothorax