Pleuroperitoneal shunt in the management of chylothorax caused by thoracic lymphatic dysplasia

Three cases of intractable chylothorax secondary to thoracic lymphatic dysplasia were treated by pleuroperitoneal shunt insertion. These cases included on with Gorham's syndrome, and one case with a bilateral chylothorax and chylous ascites. Pleuroperitoneal shunts allowed an adequate internal...

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Bibliographic Details
Published in:Journal of pediatric surgery 1999-09, Vol.34 (9), p.1420-1422
Main Authors: Podevin, Guillaume, Levard, Guillaume, Larroquet, Michèle, Gruner, Max
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Child, Preschool
Chylothorax - etiology
Chylothorax - surgery
Female
Humans
Lymphangiectasis - complications
Male
Medical sciences
Peritoneum - surgery
Pleura - surgery
Recurrence
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the respiratory system
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Description
Summary:Three cases of intractable chylothorax secondary to thoracic lymphatic dysplasia were treated by pleuroperitoneal shunt insertion. These cases included on with Gorham's syndrome, and one case with a bilateral chylothorax and chylous ascites. Pleuroperitoneal shunts allowed an adequate internal drainage in all cases, alleviating protein and lymphocyte losses caused by recurrent pleural taps. In the third case with chylous ascites, valved shunts were used to avoid reflux between the peritoneal cavity and the pleural space. Such palliative therapy did not change the bad prognosis of these patients with lymphatic disorders but improved the children's quality of life.
ISSN:0022-3468
1531-5037
DOI:10.1016/S0022-3468(99)90026-X