Dual imaging lymphangiography guided treatment of infantile chylothorax

Journal of Vascular Surgery Cases and Innovative Techniques

Kanako Danno, MD¹  Mitsunaga Narushima, MD²  Chihena H. Banda, MD³  Ryohei Ishiura, MD³  Yosuke Sakakura, MD³  Kohei Mitsui, MD³ 

[1] Correspondence: Mitsunaga Narushima, MD, Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, 2-174 Edobashi, Tsu, Mie 5148507, Japan;Department of Plastic and Reconstructive Surgery, Aichi Medical University, Nagakute, Japan;Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan;

关键词: Infantile chylothorax;    Chylous leak;    Chylous ascites;    Lymphangiography;    Microsurgery techniques;   

DOI  :  

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown