Postpneumonectomy Tension Chylothorax

Karwande, Shreekanth V.; Wolcott, Mark W.; Gay, William A.

doi:10.1016/s0003-4975(10)60591-7

Cited by 19 publications

(10 citation statements)

References 4 publications

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“…and Glyn‐Jones et al. appears to be the same) (7–11). The etiology of the chylothorax was traumatic in three patients and followed pneumonectomy in the other five.…”

Section: Discussionmentioning

confidence: 69%

“…The patients described by Karwande et al. (8) both had mediastinal shift and opacification of the hemithorax on chest X‐ray. Cardiac tamponade was originally suspected in one of these patients as well.…”

Section: Discussionmentioning

confidence: 99%

“…Although the accumulation of gas is the most common cause of an expanding interpleural space leading to hemodynamic collapse, the presence of other structures or substances (hydrothorax, gastrothorax, hemothorax, urohemothorax, and pyothorax) in the pleural space under pressure sufficient to cause hemodynamic collapse has also been reported (2)(3)(4)(5)(6)(7)(8)(9)(10)(11). To our knowledge, there are no previous reports in the English-speaking literature of a tension chylothorax in a child.…”

Section: Introductionmentioning

confidence: 99%

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Tension chylothorax in two pediatric patients

Wheeler¹,

Tobias

2006

Pediatric Anesthesia

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Although the accumulation of gas is the most common cause of an expanding interpleural space, the presence of other structures or substances (hydrothorax, gastrothorax, hemothorax, urohemothorax, pyothorax, and chylothorax) under pressure may be sufficient to cause hemodynamic and respiratory compromise. We present two pediatric patients that developed hemodynamic and respiratory effects secondary to a chylothorax. The first patient presented in respiratory distress and cardiovascular collapse 4 weeks after a Fontan procedure. Placement of a chest tube resulted in the release of chyle under pressure and prompt resolution of hemodynamic and respiratory symptoms. The second patient was a 2100 g neonate who developed a chylothorax during an episode of sepsis following gastroschisis repair. On two separate occasions, the development of the chylothorax was associated with tachycardia, oliguria, and increased requirements during mechanical ventilation. Chest tube placement resulted in the release of chyle under pressure and resolution of the symptoms. These two cases demonstrate that chylothorax like pneumothorax can have deleterious effects on hemodynamic and respiratory function.

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“…and Glyn‐Jones et al. appears to be the same) (7–11). The etiology of the chylothorax was traumatic in three patients and followed pneumonectomy in the other five.…”

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tension chylothorax in two pediatric patients

Wheeler¹,

Tobias

2006

Pediatric Anesthesia

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“…8 The development of TH in this setting is believed to be due to sudden rupture of pleuroperitoneal blebs with sudden passage of a large volume of ascites into the pleural cavity. 7,15 The management of a TH is 2-fold. 12 Similar passage of peritoneal dialysis fluid into the pleural space has been reported to cause TH in renal failure patients.…”

Section: Discussionmentioning

confidence: 99%

Tension Hydrothorax

Demidovich¹,

Nasseri²,

Vasoya³

et al. 2012

Clinical Pulmonary Medicine

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“…El quilotórax a tensión es una entidad poco frecuente, con pocos casos reportados en la literatura, principalmente lo encontramos en población adulta, con etiología principalmente traumática y post quirúrgica (neumonectomia) [8][9][10][11][12][13][14] . Las formas de presentación fueron tan variadas con síntomas similares a taponamiento cardíaco, abdomen agudo …”

Section: Discussionunclassified

Quilotórax a Tensión: Reporte de Dos Casos

Pinochet

Donoso

Cruces³

2009

Rev. chil. pediatr.

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Tension Chylothorax: Two Case ReportsThoracic duct injury is a well described entity as complication from cardiothoracic surgery. However tension chylothorax is rare, and may become a life-threating condition. Objective: To present 2 pediatric patients who developed hemodynamic and respiratory failures secondary to chylothorax. Patients: The first patient was a 2-month-old boy who developed chylothorax three weeks after a Norwood-Sano surgery; he showed a severe respiratory and hemodynamic collapse. The second patient was a one-month old baby who developed an acute respiratory failure and oliguria two days after a patent ductus arteriosus surgery. In both cases the chest tube placement resulted in the release of chyle under pressure and resolution of the symptoms. Conclusions: These two cases demostrate how chylothorax may provoke severe hemodynamic and respiratory effects. Early recognition and treatment of this condition is important for improved outcome. RESUMENEl daño del ducto toráxico que ocasiona un quilotórax es una complicación bien conocida y documentada de las cirugías cardiotoráxicas. Sin embargo, el desarrollo de quilotórax a tensión es raramente reportado, siendo un evento que puede poner en riesgo la vida del paciente. Objetivo: Comunicar 2 pacientes, quienes presentaron compromiso hemodinámico y respiratorio de carácter grave, secundario al desarrollo de quilotórax. Casos: El primer paciente, de dos meses de edad, ocurrió luego de tres semanas de efectuarse una cirugía de Norwood-Sano, quien presentó un grave colapso ventilatorio y hemodinámico. El segundo paciente, de 1 mes de edad, desarrolló una falla respiratoria aguda y oliguria dos días posterior al cierre de un ductus arterioso persistente. En ambos casos la instalación de un tubo pleural resultó en la liberación de quilo a gran presión y una rápida resolución de los síntomas. Conclusión: Los dos casos aquí reportados evidencian que el quilotórax puede presentar efectos hemodinámicos y respiratorios deletéreos. El pronto reconocimiento y tratamiento de esta entidad son esenciales para el óptimo pronóstico del paciente.

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Postpneumonectomy Tension Chylothorax

Cited by 19 publications

References 4 publications

Tension chylothorax in two pediatric patients

Tension chylothorax in two pediatric patients

Tension Hydrothorax

Quilotórax a Tensión: Reporte de Dos Casos

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