Case Report Thoracic duct-subclavian vein anastomosis in management of cirrhotic ascites

Reanastomosis of the thoracic duct and subclavian vein has been performed in three patients with intractable ascites. Following surgery, these patients were placed on a loop-blocking diuretic plus Aldactone, and prompt diuresis ensued with gradual improvement in the ascites. Improvement in the ascit...

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Bibliographic Details
Published in:The American journal of the medical sciences 1980-05, Vol.279 (3), p.163-167
Main Authors: Coodley, Eugene L., Matsumoto, Teruo
Format: Article
Language:English
Subjects:
Aldosterone
Anastomosis
Ascites
Cirrhosis
Diuresis
Duct
Lymph
Obstruction
Paracentesis
Shunt
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Summary:Reanastomosis of the thoracic duct and subclavian vein has been performed in three patients with intractable ascites. Following surgery, these patients were placed on a loop-blocking diuretic plus Aldactone, and prompt diuresis ensued with gradual improvement in the ascites. Improvement in the ascites was probably the result of several factors including removal of obstruction at the upper end of the thoracic duct, mobilization of fluid in the intravascular space, improved lymphatic drainage, and diuretic effect. Complications included necessity for re-exploration in one patient and development of encephalopathy in a second
ISSN:0002-9629
1538-2990
DOI:10.1097/00000441-198005000-00005