15 results match your criteria reaccumulation chylous

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Extracorporeal Membrane Oxygenation as a Rescue Therapy for Postoperative Diastolic Dysfunction and Refractory Chylothorax.

ASAIO J 2021 05;67(5):e99-e101

Pediatric Cardiac Intensive Care Unit, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

This is the first published case, as far as we know, of a term neonate with refractory chylothorax secondary to diastolic dysfunction in the cardiac postoperative period, where extracorporeal membrane oxygenation (ECMO) was used to improve the physiologic derangements, thus allowing resolution of the chylous effusion. The infant was prenatally diagnosed with d-transposition of the great arteries. He was started on prostaglandin infusion and underwent balloon atrial septostomy followed by arterial switch operation. Read More

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Management of large congenital chylous ascites in a preterm infant: fetal and neonatal interventions.

BMJ Case Rep 2020 Sep 2;13(9). Epub 2020 Sep 2.

Neonatology, KK Women's and Children's Hospital, Singapore

Congenital chylous ascites is a rare cause of ascites in newborn infants. Its aetiology varies from localised leaky lymphatic duct to genetic syndromes. Most of these cases have transient ascites resolving over time with conservative management but some may progress needing medical as well as surgical treatment. Read More

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September 2020

Diaphragmatic fenestration for refractory chylothorax after congenital cardiac surgery in infants.

J Thorac Cardiovasc Surg 2017 12 17;154(6):2062-2068. Epub 2017 Aug 17.

Department of Pediatric Cardiothoracic Surgery, Le Bonheur Children's Hospital and University of Tennessee Health Science Center, Memphis, Tenn.

Objective: Medically refractory chylous pleural effusion after congenital heart surgery is associated with significant morbidity and mortality, especially in infants. We reviewed our experience with diaphragmatic fenestration procedure in this group of patients.

Methods: A retrospective chart review of all patients who had diaphragmatic fenestrations for chylous effusion at our institution over a 2-year period was performed. Read More

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December 2017

Vascular stent placement for palliation of mass-associated chylothorax in two dogs.

J Am Vet Med Assoc 2017 Sep;251(6):696-701

CASE DESCRIPTION 2 dogs with chylothorax were identified to have cardiac mass lesions obstructing the return of venous blood from the cranial vena cava. Chylous effusion was presumed to have been a result of an increase in cranial vena cava pressure affecting flow of chyle through the thoracic duct. CLINICAL FINDINGS Both dogs had tachypnea and pleural effusion requiring therapeutic thoracocentesis. Read More

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September 2017

Primary chylopericardium treated by surgery: Report of two cases.

J Cardiol Cases 2011 Apr 13;3(2):e106-e110. Epub 2011 Jan 13.

Division of Cardiovascular Surgery, Okinawa Chubu Hospital, Okinawa, Japan.

Primary chylopericardium is a rare condition. The etiology and the treatment remain unclear. We report two cases of primary chylopericardium successfully treated by surgery. Read More

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The use of fat-free human milk in infants with chylous pleural effusion.

J Perinatol 2007 Jul 7;27(7):434-6. Epub 2007 Jun 7.

University of Utah Health Science Center, Salt Lake City, UT 84108, USA.

Objective: The purpose of this study is to describe the processing of human milk to remove its fat content and its use in seven infants with chylothorax.

Study Design: The mother's milk was centrifuged at 3000 r.p. Read More

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[Pleuroamniotic shunting--case report].

Acta Med Port 2005 Jul-Aug;18(4):302-8. Epub 2005 Sep 16.

Unidade de Diagnóstico Pré-Natal/Medicina Fetal, Maternidade Bissaya-Barreto, Coimbra.

Fetal hydrothorax refers to a collection of fluid within the fetal thorax that may be the result of chylous leak from the thoracic duct (primary hydrothorax) or generalized fluid retention associated with immune or no immune fetal hydrops (secondary hydrothorax). The authors' presents a case report occurred in 2002, of a pregnant woman that at 25 weeks' gestation that was referred to Maternidade Bissaya-Barreto-Coimbra because of a fetal hydrothorax at left, under tension and with cardiac decompensation signs. A fetal thoracocentesis was performed and the diagnosis was chylothorax. Read More

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Primary idiopathic chylopericardium associated with cervicomediastinal cystic hygroma.

Yonsei Med J 2005 Jun;46(3):439-44

Cardiology Division, Cardiovascular Research Institute, Yonsei University College of Medicine, 134 Sinchon-dong, Seodaemun-gu, Seoul 120-752, Korea.

Chylopericardium is a rare clinical entity in which chylous fluid accumulates in the pericardial cavity. We report a case of primary idiopathic chylopericardium associated with multiple, small cervicomediastinal cystic hygromas occurring in an asymptomatic 43-year-old woman with no history of trauma, thoracic surgery, malignancy, infection or tuberculosis. Echocardiography showed a large amount of pericardial effusions and pericardial fluid analysis revealed inappropriately elevated triglyceride. Read More

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Somatostatin for intractable postoperative chylothorax in a premature infant.

Pediatr Surg Int 2005 May 12;21(5):390-1. Epub 2005 Feb 12.

Department of Paediatric Surgery, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK.

A premature infant of 31 weeks' gestation underwent repair of an oesophageal atresia, distal tracheo-oesophageal fistula and anal stenosis. A lymphatic leak was noted at the time of surgery. Chylous drainage persisted and an intravenous infusion of somatostatin was begun. Read More

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Congenital hypothyroidism and nonimmune hydrops fetalis: associated?

Pediatrics 1999 Jan;103(1):E9

Department of Neonatology, Rambam Medical Center, Rappaport Faculty of Medicine Technion, Israel Institute of Technology, Haifa 31096, Israel.

Hydrops fetalis (HF) consists of an abnormal accumulation of fluid in two or more fetal compartments, including ascites, pleural effusion, pericardial effusion, and skin edema. Almost all observed cases of HF are of the nonimmune type, the causes of which remain undetermined in 15% of patients. We report a newborn infant with nonimmune hydrops fetalis (NIHF) and congenital hypothyroidism. Read More

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January 1999

Management of chylothorax.

Br J Surg 1997 Dec;84(12):1711-6

Department of Surgery, St. Thomas' Hospital, London, UK.

Background: Chylothorax is a rare primary or secondary condition the optimum management of which remains uncertain.

Methods: Twenty cases of chylothorax, including ten of primary chylothorax and ten secondary to either malignancy, subclavian vein thrombosis or lymphangioma treated between 1956 and 1986 have been reviewed.

Results: Open pleurectomy was the most successful treatment in preventing reaccumulation of the effusion. Read More

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December 1997

Postcaval thrombosis and delayed shunt migration after pleuro-peritoneal venous shunting for concurrent chylothorax and chylous ascites in a dog.

S L Peterson

Vet Surg 1996 May-Jun;25(3):228-30

Department of Surgery, School of Medicine, University of Colorado Health Sciences Center, Denver, USA.

Simultaneous chylothorax and chylous ascites related to intestinal lymphangiectasia was diagnosed in a 4-year-old spayed female dog. Palliative pleural and peritoneal drainage was accomplished by placement of fenestrated silastic sheeting into surgically created diaphragmatic defects, and implantation of a pleuro-peritoneal venous shunt. The immediate postoperative period was complicated by acute renal failure secondary to postcaval thrombosis originating at the site of placement of the efferent pump catheter and extending to the level of the renal veins. Read More

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February 1997

Massive primary chylopericardium: a case report.

J Pediatr Surg 1990 Aug;25(8):840-2

Division Cardiovascular-Thoracic Surgery, Children's Memorial Hospital, Chicago, IL 60614.

A large pericardial effusion was discovered in an asymptomatic 12-year-old boy admitted for an elective orthopedic procedure. On physical examination, heart rate was 96 and blood pressure was 130/70 without paradox. The neck veins were not distended, but heart tones were distant. Read More

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Chyle: a masquerading etiology of pericardial effusion.

Int J Cardiol 1987 Jan;14(1):106-9

A 25-year-old man with massive pericardial effusion is presented. The high lymphocyte amount and cytological analysis of the aspirated fluid suggested tuberculous or malignant pericarditis. The chylous nature of the effusion was only recognized after hemipericardiectomy, when reaccumulation of fluid into the pleural space appeared. Read More

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January 1987

Chylous ascites after an H-graft interposition mesocaval shunt.

Gut 1982 Jul;23(7):633-5

A case of chylous ascites occurring after an emergency mesocaval shunt is reported. After an attempt at conservative management had failed, the patient was surgically explored. Although a lymphatic leak could not be identified, oversewing the retroperitoneum in the area of previous dissection and reinforcement with an omental pedicle was successful in preventing postoperative reaccumulation of chylous ascites. Read More

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