The use of pleuroperitoneal shunts in the management of persistent chylothorax in infants☆
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Cited by (57)
Pediatric pulmonary lymphatic flow Disorders: Diagnosis and management
2020, Paediatric Respiratory ReviewsCompressive chylothorax after lumbar spine fracture
2019, Archives de PediatrieCitation Excerpt :Thoracic duct embolization is another option to control the leakage [2,17]. Pleuroperitoneal shunts can be used for refractory chylothorax [18]. Post-traumatic chylothorax is a rare condition, especially in children.
Nutrition and metabolism in the critically ill child with cardiac disease
2018, Critical Heart Disease in Infants and ChildrenDiaphragmatic fenestration for refractory chylothorax after congenital cardiac surgery in infants
2017, Journal of Thoracic and Cardiovascular SurgeryCitation Excerpt :Although chemical pleurodesis is a safe and attractive alternative in neonatal patients because it can be accomplished via a minimally invasive procedure, it has mixed efficacy, with some reports documenting the need for multiple interventions. The well-documented significant pain associated with pleurodesis and the potential for respiratory compromise, lymph edema, and pulmonary fibrosis present a significant risk to patients with comorbid congenital heart disease3,7,22-24 (Table 2). Pleuroperitoneal shunts have been efficacious in infants, with limited data of use in older children.
Pleurodesis with povidone–iodine for refractory chylothorax in newborns: Personal experience and literature review
2015, Journal of Pediatric SurgeryCitation Excerpt :Our criteria are more cautious than other previously reported to avoid general failure in these fragile patients with high chyle daily output. Regarding the best second-line treatment, different surgical approaches (pleuroperitoneal shunting, pleurectomy, surgical pleurodesis, thoracic duct ligation) have been proposed, with no definitive success [16–20]. Surgical duct ligation and video-assisted surgical pleurodesis/pleurectomy are the most commonly used surgical procedures after õfailure of conservative treatment [16].
Utility of a clinical practice guideline in treatment of chylothorax in the postoperative congenital heart patient
2013, Annals of Thoracic Surgery
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Presented at 45th Annual International Congress of the British Association of Paediatric Surgeons, Bristol, England, July 21–24, 1998.