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经皮支架置入术治疗上腔静脉综合征所致乳糜胸:一例报告

Percutaneous stenting as treatment for chylothorax from superior vena cava syndrome: A case report.

作者信息

Kasaeian Arta, Hoffman Taylor, Rad Mohammad Ghasemi, Wynne David, Léon David

机构信息

Division of Vascular and Interventional Radiology, Department of Radiology, Baylor College of Medicine, Houston, TX, USA.

出版信息

SAGE Open Med Case Rep. 2025 May 14;13:2050313X251340792. doi: 10.1177/2050313X251340792. eCollection 2025.

Abstract

Superior vena cava syndrome is a condition that results from obstruction of the superior vena cava, the etiology of which can be benign or malignant. The impaired venous return can cause facial and upper extremity swelling, dyspnea, and neurologic symptoms. Chylothorax is a rare complication of superior vena cava syndrome. We report a case of a 69-year-old male with end-stage renal disease, who developed both a chylothorax and a contralateral simple pleural effusion secondary to superior vena cava syndrome. He was successfully treated with percutaneous endovascular stenting.

摘要

上腔静脉综合征是一种由上腔静脉阻塞引起的病症,其病因可以是良性的或恶性的。静脉回流受损可导致面部和上肢肿胀、呼吸困难及神经症状。乳糜胸是上腔静脉综合征的一种罕见并发症。我们报告一例69岁终末期肾病男性患者,继发于上腔静脉综合征出现了乳糜胸和对侧单纯性胸腔积液。他通过经皮血管内支架置入术获得成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/890f/12078977/bc2b089074c2/10.1177_2050313X251340792-fig1.jpg

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