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Synovis™耦合器装置在一名患有中央淋巴液流动障碍患者的手术性淋巴静脉吻合术中用于治疗难治性乳糜胸的新用途。

Novel use of a Synovis™ coupler device for a surgical lymphovenous anastomosis for the treatment of refractory chylothorax in a patient with central lymphatic flow disorder.

作者信息

Rezkalla Joshua, Husain Majid, Slack Ginger, Sinha Sanjay

机构信息

Department of Cardiology Mayo Clinic Rochester Minnesota USA.

Division of Pediatric Cardiology Department of Pediatrics David Geffen School of Medicine at UCLA Los Angeles California USA.

出版信息

Clin Case Rep. 2022 Mar 20;10(3):e05636. doi: 10.1002/ccr3.5636. eCollection 2022 Mar.

DOI:10.1002/ccr3.5636
PMID:35340646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8935127/
Abstract

Refractory post-operative chylothorax in congenital heart disease is difficult to treat. We present a case of intractable neonatal chylothorax after cardiac surgery due to central lymphatic flow disorder that was treated by creating a lymphovenous anastomosis of the thoracic duct to the left external jugular vein for definitive treatment.

摘要

先天性心脏病术后难治性乳糜胸难以治疗。我们报告一例心脏手术后因中央淋巴液流动障碍导致的顽固性新生儿乳糜胸，通过将胸导管与左颈外静脉进行淋巴静脉吻合术进行确定性治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c270/8935127/f74a828326dc/CCR3-10-e05636-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c270/8935127/a27604984d10/CCR3-10-e05636-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c270/8935127/f42b07a15b0f/CCR3-10-e05636-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c270/8935127/7a82722e714e/CCR3-10-e05636-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c270/8935127/f74a828326dc/CCR3-10-e05636-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c270/8935127/a27604984d10/CCR3-10-e05636-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c270/8935127/f42b07a15b0f/CCR3-10-e05636-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c270/8935127/7a82722e714e/CCR3-10-e05636-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c270/8935127/f74a828326dc/CCR3-10-e05636-g001.jpg

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Novel use of a Synovis™ coupler device for a surgical lymphovenous anastomosis for the treatment of refractory chylothorax in a patient with central lymphatic flow disorder.Synovis™耦合器装置在一名患有中央淋巴液流动障碍患者的手术性淋巴静脉吻合术中用于治疗难治性乳糜胸的新用途。
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本文引用的文献

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Diagnosis and Management of Lymphatic Disorders in Congenital Heart Disease.先天性心脏病相关淋巴系统疾病的诊断与治疗。
Curr Cardiol Rep. 2020 Oct 10;22(12):164. doi: 10.1007/s11886-020-01405-y.
2
Neonatal lymphatic flow disorders: impact of lymphatic imaging and interventions on outcomes.新生儿淋巴循环障碍：淋巴成像和干预对结局的影响。
J Perinatol. 2021 Mar;41(3):494-501. doi: 10.1038/s41372-020-00771-3. Epub 2020 Sep 2.
3
Thoracic duct-to-vein anastomosis for the management of thoracic duct outflow obstruction in newborns and infants: a CASE series.
胸腔导管-静脉吻合术治疗新生儿和婴儿胸导管流出道梗阻：一组病例系列。
J Pediatr Surg. 2020 Feb;55(2):234-239. doi: 10.1016/j.jpedsurg.2019.10.029. Epub 2019 Nov 1.
4
Lymphovenous Anastomosis for the Treatment of Chylothorax in Infants: A Novel Microsurgical Approach to a Devastating Problem.淋巴管静脉吻合术治疗婴儿乳糜胸：一种治疗灾难性问题的新显微外科方法。
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5
Pediatric lymphangiography, thoracic duct embolization and thoracic duct disruption: a single-institution experience in 11 children with chylothorax.小儿淋巴管造影、胸导管栓塞及胸导管破裂：一家机构对11例乳糜胸患儿的经验总结
Pediatr Radiol. 2018 Feb;48(2):235-240. doi: 10.1007/s00247-017-3988-5. Epub 2017 Sep 28.
6
Post-Operative Chylothorax in Patients With Congenital Heart Disease.先天性心脏病患者术后乳糜胸。
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7
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