Wu E T, Takeuchi M, Imanaka H, Higuchi T, Kagisaki K
Department of Pediatrics, National Taiwan University Hospital, Taipei.
Anaesthesia. 2006 Jun;61(6):584-6. doi: 10.1111/j.1365-2044.2006.04640.x.
A 5-month-old boy with hypoplastic left heart syndrome developed chylothorax and oedema of the left upper arm more than 2 months after recovering from a Norwood stage II operation. Venography showed occlusion of the innominate vein with abundant collaterals crossing the midline to join the right internal jugular vein. The occlusion was caused by a peripherally inserted central catheter under systemic heparinisation. This case highlights the importance of a patent venous pathway, especially in patients with a cavopulmonary connection in the upper extremities.
一名患有左心发育不全综合征的5个月大男孩在诺伍德二期手术后恢复两个多月后出现乳糜胸和左上臂水肿。静脉造影显示无名静脉闭塞，有大量侧支血管穿过中线与右颈内静脉相连。闭塞是由在全身肝素化情况下经外周置入中心静脉导管引起的。该病例凸显了静脉通路通畅的重要性，尤其是在上肢存在腔肺连接的患者中。
