Surgical Disorders of the Chest and Airways

Keller, Roberta L.; Guevara-Gallardo, Salvador; Farmer, Diana L.

doi:10.1016/b978-1-4377-0134-0.10049-6

Cited by 5 publications

(5 citation statements)

References 295 publications

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“…By contrast, chylothorax often increases after initiating enteral feeding. 2 • A temporary improvement in fetal pleural effusion was detected after betamethasone administration to the mother, despite no improvements in fetal heart rate. Saito et al 3 reported that maternal treatment with betamethasone was an effective at reducing pleural effusion in congenital chylothorax.…”

Section: Discussionmentioning

confidence: 95%

“…2 Among neonates, chylothorax can be distinguished from pleural transudate and pleural exudate by the leukocyte count in pleural effusion is >1,000/μL 2 with a lymphocyte fraction above 80%, 2 and elevated triglyceride levels in the pleural effusion above 100 to 110 mg/dL or above levels detected in serum; however, triglycerides are not present unless enteral feeds are initiated. 2 It is also informative if the pleural effusion is milk-colored, with total protein levels higher than 2.5 g/dL, 6 a P/S ratio of IgG > 0.60, 7 and LDH levels higher than 110 IU/L. 2,6 • Pleural effusion accumulation was consistently unilateral (right side).…”

Section: Discussionmentioning

confidence: 99%

“…2 It is also informative if the pleural effusion is milk-colored, with total protein levels higher than 2.5 g/dL, 6 a P/S ratio of IgG > 0.60, 7 and LDH levels higher than 110 IU/L. 2,6 • Pleural effusion accumulation was consistently unilateral (right side). Chylothorax is detected most often on the right side of the thorax; this is probably related to the anatomy of the thoracic duct.…”

Section: Discussionmentioning

confidence: 99%

“…Total parenteral nutrition and octreotide may serve to decrease lymphatic flow. 2 Coagulation factor XIII may be involved in promoting tissue regeneration, repair of damaged lymphatic vessels, and may have proliferative and antiapoptotic effects on vascular endothelial cells. 14 Likewise, corticosteroids may be effective for chylothorax because of their lymphatic vasoconstrictive effects and the reduction in lymphatic flow due to increasing plasma osmotic pressure.…”

Section: Discussionmentioning

confidence: 99%

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Chylothorax Associated with Congenital Complete Atrioventricular Block

Fujino

Maruyama

Tsukamoto

et al. 2020

AJP Rep

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Introduction Congenital complete atrioventricular block (CCAVB) associated with congenital chylothorax is a rare finding that has been reported in only one case in the literature. We report here the case of an infant with CCAVB complicated by congenital chylothorax. Patient Report We present the case of a male neonate with a birth weight of 2114 g. Fetal bradycardia and right pleural effusion were detected at gestational age of 22 weeks. Maternal serum levels of anti-Sjögren's-syndrome-related antigen A autoantibody were high (4840 U/mL). The neonate was delivered at gestational age of 33 weeks; a temporary external pacemaker was placed immediately after birth that resulted in an improved cardiac output. Milk-colored pleural effusion increased in volume together with the initiation of breast milk feeding. Lymphocytosis and high triglyceride levels in the pleural fluid led to the diagnosis of chylothorax. The pleural effusion resolved in response to prednisolone, octreotide, and total parenteral nutrition. Discussion The causal relationship between CCAVB and congenital chylothorax can be explained by considering the damage to the lymphatic vessels secondary to inflammation due to maternal autoantibodies and venous congestion due to bradycardia. Conclusion In any case of CCAVB associated with atypical pleural effusion, one must consider the possibility of congenital chylothorax.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Chylothorax Associated with Congenital Complete Atrioventricular Block

Fujino

Maruyama

Tsukamoto

et al. 2020

AJP Rep

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“…9 Congenital Pulmonary Airway Malformations develop from an Overgrowth of Lung tissue extending from different levels of the airway, generally unilateral. 10 In most of the cases, respiratory distress occurs during the neonatal period, and in about 90% of patients, congenital pulmonary airway malformation is diagnosed before the age of two years due to respiratory infection. Clinically can present at pregnancy with hydrops, polyhydramnios, presents at birth in 90% with respiratory distress, and in infants and children with recurrent pneumonia, abscess formation and spontaneous pneumothorax.…”

Section: Discussionmentioning

confidence: 99%