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乳糜囊肿-静脉分流术治疗中央传导性淋巴管异常

Chylous cyst-venous shunt for the management of central conducting lymphatic anomaly.

作者信息

Amore Miguel Angel, Salvia Sofia Alexia, Papendieck Cristobal Miguel

机构信息

Vascular Anomalies Committee, Cardiovascular Surgery Division, Central Military Hospital, Buenos Aires, Argentina.

Angiopediatria Foundation, Buenos Aires, Argentina.

出版信息

J Vasc Surg Cases Innov Tech. 2021 Feb 26;7(2):235-238. doi: 10.1016/j.jvscit.2021.02.005. eCollection 2021 Jun.

DOI:10.1016/j.jvscit.2021.02.005
PMID:33997561
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8095075/
Abstract

We present the case of a 45-year-old man who had presented with ubiquitous chylous reflux that manifested as a bilateral inguinal chylous cutaneous fistula and a voluminous right cervical chylous cyst. He had difficulty breathing owing to compression of the airway. Anastomosis of the chylous cyst wall with the external jugular vein was performed using a valvular vein segment to prevent blood reflux. Postoperatively, anticoagulant therapy was initiated. We found this derivative surgical procedure to be an effective and minimally invasive technique for complex lymphatic anomalies.

摘要

我们报告了一例45岁男性患者,其出现广泛的乳糜反流,表现为双侧腹股沟乳糜性皮肤瘘和巨大的右侧颈乳糜囊肿。由于气道受压,他呼吸困难。使用带瓣膜的静脉段将乳糜囊肿壁与颈外静脉进行吻合,以防止血液反流。术后开始抗凝治疗。我们发现这种衍生的外科手术是一种治疗复杂淋巴异常的有效且微创的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f5/8095075/cc8bd465b5ba/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f5/8095075/6fa46bb23bc7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f5/8095075/2b2e5bc6749a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f5/8095075/2d51e35b5d08/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f5/8095075/d9b945b796be/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f5/8095075/cc8bd465b5ba/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f5/8095075/6fa46bb23bc7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f5/8095075/2b2e5bc6749a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f5/8095075/2d51e35b5d08/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f5/8095075/d9b945b796be/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f5/8095075/cc8bd465b5ba/gr5.jpg

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Expanded phenotypic spectrum of JAG1-associated diseases: Central conducting lymphatic anomaly with a pathogenic variant in JAG1.JAG1相关疾病的扩展表型谱:伴有JAG1致病变异的中央传导性淋巴管异常
Clin Genet. 2021 May;99(5):742-743. doi: 10.1111/cge.13915. Epub 2021 Jan 12.
3
ARAF recurrent mutation causes central conducting lymphatic anomaly treatable with a MEK inhibitor.
ARAF 反复突变导致中央传导性淋巴异常,可用 MEK 抑制剂治疗。
Nat Med. 2019 Jul;25(7):1116-1122. doi: 10.1038/s41591-019-0479-2. Epub 2019 Jul 1.
4
A new combined operative technique using crossed inguinal lymphatic rescue for pediatric patients with mixed lymphatic and venous malformations.一种用于小儿混合性淋巴管和静脉畸形患者的采用交叉腹股沟淋巴管挽救术的新型联合手术技术。
Lymphology. 2017;50(3):141-147.
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Anatomical Variations of the Thoracic Duct: A Preliminary Report in Adult and Fetal Specimens.胸导管的解剖变异:成人及胎儿标本的初步报告
Lymphology. 2016 Dec;49(4):205-9.
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Pathogenic variant in EPHB4 results in central conducting lymphatic anomaly.EPHB4 中的致病变异导致中央传导性淋巴管异常。
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Complex lymphatic anomalies.复杂性淋巴管异常
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A review of the surgery of the thoracic duct.胸导管手术综述。
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Thoracic duct injury associated with left internal jugular vein catheterization: anatomic considerations.与左颈内静脉置管相关的胸导管损伤:解剖学考量
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