Dual imaging lymphangiography guided treatment of infantile chylothorax

Kohei Mitsui, MD; Mitsunaga Narushima, MD; Ryohei Ishiura, MD; Kanako Danno, MD; Yosuke Sakakura, MD; Chihena H. Banda, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2021)

Dual imaging lymphangiography guided treatment of infantile chylothorax

Kohei Mitsui, MD,
Mitsunaga Narushima, MD,
Ryohei Ishiura, MD,
Kanako Danno, MD,
Yosuke Sakakura, MD,
Chihena H. Banda, MD

Affiliations

Kohei Mitsui, MD: Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan; Department of Plastic and Reconstructive Surgery, Aichi Medical University, Nagakute, Japan
Mitsunaga Narushima, MD: Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan; Correspondence: Mitsunaga Narushima, MD, Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, 2-174 Edobashi, Tsu, Mie 5148507, Japan
Ryohei Ishiura, MD: Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan
Kanako Danno, MD: Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan
Yosuke Sakakura, MD: Department of Clinical Anesthesiology, Graduate School of Medicine, Mie University, Tsu, Japan
Chihena H. Banda, MD: Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan

Journal volume & issue: Vol. 7, no. 3
pp. 492 – 495

Abstract

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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.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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