经颈逆行胸导管插管栓塞及静脉重建治疗继发于静脉流出道梗阻的乳糜胸。
Chylothorax secondary to venous outflow obstruction treated with transcervical retrograde thoracic duct cannulation with embolization and venous reconstruction.
作者信息
Chick Jeffrey Forris Beecham, Hage Anthony N, Patel Nishant, Gemmete Joseph J, Meadows J Matthew, Srinivasa Ravi N
机构信息
Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, Michigan Medicine, Ann Arbor, Mich.
出版信息
J Vasc Surg Cases Innov Tech. 2018 Aug 17;4(3):193-196. doi: 10.1016/j.jvscit.2018.03.010. eCollection 2018 Sep.
Abstract
A chylothorax may be due to either direct trauma or occlusion of the thoracic duct. Treatments include antegrade or retrograde glue and coil embolization as well as thoracic duct stent graft placement. This report describes a patient with chylothorax secondary to venous outflow occlusion. Left upper extremity venography demonstrated multifocal left brachiocephalic and axillary vein occlusions with retrograde filling of an engorged and disrupted thoracic duct. Retrograde thoracic duct lymphangiography with embolization and left upper extremity venous reconstruction were performed with complete resolution of chylothorax.
摘要
乳糜胸可能是由直接创伤或胸导管阻塞引起的。治疗方法包括顺行或逆行胶水及线圈栓塞，以及胸导管支架植入。本报告描述了一名因静脉流出道阻塞继发乳糜胸的患者。左上腔静脉造影显示左头臂静脉和腋静脉多处闭塞，充盈的、破裂的胸导管逆行显影。进行了逆行胸导管淋巴管造影及栓塞和左上腔静脉重建，乳糜胸完全消退。
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