• Chylothorax refers to the presence of lymphatic fluid in the pleural space secondary to leakage from the thoracic duct or one of its main tributaries. (medscape.com)
  • Congenital chylothorax, involving multiple lymphatic vessel anomalies or thoracic cavity defects and potentially associated with other congenital anomalies, is the leading cause of pleural effusion in neonates. (medscape.com)
  • Chyle leak and chylothorax is a well-described complication in thoracic surgery. (canjsurg.ca)
  • On postoperative days 12-14, the chest tube output increased to about 1.5 L per 24 hours, and the patient was offered right thoracotomy and repeat mass ligation of the thoracic duct. (canjsurg.ca)
  • Injury of such a backflowing LAMLNC is more likely to explain chylothorax as a complication of LIMA harvesting than the injury of the thoracic duct itself since this is more deeply located in this region. (who.int)
  • The rarity of chylothorax following LIMA harvest is explained by the usual lymph vessel valve competency of the LAMLNC, which is not always connected with the thoracic duct itself [2]. (who.int)
  • Chylothorax after internal thoracic artery harvest. (who.int)
  • A chylothorax occurs when the thoracic duct is disrupted and chyle accumulates in the pleural space. (omu.edu.tr)
  • chylothorax is the most common type of pleural effusion in neonates, due to: persistent fetal chylothorax, rupture of the thoracic duct from trauma during delivery, or to developmental abnormalities of the thoracic duct. (litfl.com)
  • Chylothorax is leakage of the thoracic duct content into the pleural cavity due to congenital defects, trauma, tumor infiltration, postoperative cardiac or esophageal procedures. (aapsus.org)
  • Does prophylactic ligation of the thoracic duct reduce chylothorax rates in patients undergoing oesophagectomy? (hunimed.eu)
  • From an anterior approach, injury to the great vessels is possible leading to hemorrhage as is damage to the thoracic duct leading to chylothorax [ 7 ]. (jmisst.org)
  • The incidence of chylothorax ranges from 0.4-4% in esophageal procedures to 2.5-4.7% in congenital cardiac procedures. (medscape.com)
  • In a retrospective study involving 392 pediatric patients (mean age, 97 days) who underwent surgical treatment of congenital heart disease to determine whether the site of insertion of central venous lines was associated with the occurrence of chylothorax after cardiac surgery, Borasino et al reported that the insertion of central venous lines in the upper body had an increased association with postsurgical chylothorax. (medscape.com)
  • It refers to the abnormal accumulation of more than 500 milliliters of transudative pleural effusion in patients with liver cirrhosis where a cardiac and pulmonary cause of pleural effusion has been ruled out [1]. (scirp.org)
  • And MNT for pediatric cardiac patients on warfarin. (med.om)
  • We used the Pediatric Cardiac Critical Care Consortium (PC 4 ) registry to assess enrollment rates in NPC-QIC for those centers participating in both registries using indirect identifiers (date of birth, date of admission, gender, and center) to match patient records. (cambridge.org)
  • Cardiac intensivists frequently assess patient readiness to wean off mechanical ventilation with an extubation readiness trial despite it being no more effective than clinician judgement alone. (cambridge.org)
  • One patient had atrial septal defect, another patient had ductus arteriosus and another patient had ventricular septal defect as a coexisting cardiac disorder. (ejcvsmed.org)
  • Vascular rings can manifest with various symptoms at different ages and many patients also have co-existing cardiac anomalies. (ejcvsmed.org)
  • We describe a case of chylothorax that occurred a few days after coronary artery bypass grafting and which was treated only with low-fat diet. (who.int)
  • We report a case of chylothorax due to liver cirrhosis. (omu.edu.tr)
  • In particular, cardiothoracic surgery has been associated with 69-85% of cases of chylothorax in children. (medscape.com)
  • In conclusion, conservative therapy in uncomplicated cases of chylothorax seems to be a favourable option, and surgical intervention should remain as a final choice if conservative therapy fails. (who.int)
  • The investigators indicated that by avoiding the use of central venous lines in the internal jugular and subclavian veins, the incidence of chylothorax may be reduced in thissetting. (medscape.com)
  • Chyloperitoneum is a rare complication of abdominal or retroperitoneal surgery, and the combined occurrence of chylothorax and chyloperitoneum has been reported in only a few cases. (ersjournals.com)
  • Therefore we diagnosed this patient as having liver cirrhosis complicated with chylothorax. (or.jp)
  • Chylothorax is a rare and underappreciated manifestation of liver cirrhosis. (or.jp)
  • Patients and Methods: This prospective study included 56 patients with clinical, laboratory and radiological evidence of liver cirrhosis and symptomatic right sided hepatic hydrothorax. (scirp.org)
  • We provide a comprehensive overview on patients with mainly chronic heart failure and hepatic hydrothorax, discuss predictors for pleurodesis and identify patients with liver cirrhosis to be at high risk for complications. (bmj.com)
  • [ 10 ] Of the 1341 children who underwent correction of congenital heart disease, 18 (1.3%) developed postoperative chylothorax, which was managed with a therapeutic protocol that included complete drainage of chyle collection and controlled nutrition. (medscape.com)
  • As previous studies have revealed, postoperative chylothorax is a rare complication of cardiothoracic surgery procedures, especially myocardial revascularization [1-4]. (who.int)
  • Postoperative chylothorax, albeit rare, is a serious complication with a high mortality rate, which can approach 50% in untreated patients [4]. (who.int)
  • 3 patients with persistent drainage required thoracotomy with pleurodesis to achieve resolution, 2 of whom had not had an effective response with previously attempted chemical pleurodesis with doxycycline (range of duration leakage, 5.1-7.4 mL/kg/d for 15-47 days). (medscape.com)
  • This study also found that daily drainage of IPCs may be more effective in achieving spontaneous pleurodesis and may improve patient QoL. (aabronchology.org)
  • IPCs allow patients with MPE to drain pleural effusions at home, often leading to pleurodesis. (aabronchology.org)
  • Excluded patients with: expected survival less than 1 month, radiographic evidence of trapped lung, loculated pleural effusion, previous surgery or attempted pleurodesis on the affected side, chylothorax or pleural infection, inability to perform drainage at home, uncorrectable bleeding disorder, skin infection at site of intended catheter insertion and pregnancy. (aabronchology.org)
  • This study found that among patients with MPE and IPC placement, daily drainage of pleural fluid may lead to higher rates of pleurodesis and fewer days with IPC when compared to every other day drainage. (aabronchology.org)
  • Traditional approaches to chylothorax include thoracentesis and pleurodesis, which are invasive and often result in significant patient morbidity and mortality. (aapsus.org)
  • Patients and methods In this single-centre retrospective observational study, patient characteristics, procedural variables and outcome in patients with IPC in non-malignant pleural effusion (NMPE) were evaluated and prognostic factors for pleurodesis were identified. (bmj.com)
  • A thoracentesis yielded fluid with characteristics consistent with chylothorax, even though the pleural effusion was transudative. (or.jp)
  • Patients were symptomatic and experienced improvement in symptoms after thoracentesis and worsening of symptoms when fluid recurred. (aabronchology.org)
  • All patients were subjected to repeated thoracentesis. (scirp.org)
  • Thoracentesis was performed with drainage of 1000 mL of milky-looking pleural fluid whose analysis was compatible with chylothorax (amicrobial, pH 7.5, 935 leukocytes/µL with 29% polymorphonuclear cells and a clear predominance of lymphocytes, 5.3 g/dL proteins, 684 mg/dL triglycerides, 123 mg/dL cholesterol, normal glucose and LDH). (fortuneonline.org)
  • Looking at the screenshots from the other save, it seems that the cause isn't the ICU, but the unit at internal medicine, as the patient is waiting for Thoracentesis. (forumotion.com)
  • Lymphangioleiomyomatosis, multifocal micronodular pneumocyte hyperplasia and pulmonary cysts develop during adulthood and manifest with dyspnea, pneumothorax, or chylothorax. (orpha.net)
  • These patients experience a rapid hemodynamic and respiratory compromise, similar to classic tension pneumothorax. (medscape.com)
  • We discuss pneumothorax, pyothorax, and chylothorax in our feline and canine patients. (internalmedicineforvettechs.com)
  • Large exposures and lengthy surgeries often with the support of cardiothoracic surgeon can lead to significant post-operative pain, pneumothorax, pulmonary effusion, or pneumonia, all of which may further worsen the pulmonary status of a patient with impaired respiratory function [ 8 ]. (jmisst.org)
  • The postoperative complications were mostly infectious, with nine patients with bronchopneumonia (69.23%), one patient had pneumothorax. (bvsalud.org)
  • A diagnosis of chylothorax was made due to lymphatic injury during LIMA harvesting, and the patient was placed on a low-fat diet. (who.int)
  • Lymphatic malformation-6 is a form of generalized lymphatic dysplasia (GLD), which is characterized by a uniform, widespread lymphedema affecting all segments of the body, with systemic involvement such as intestinal and/or pulmonary lymphangiectasia, pleural effusions, chylothoraces and/or pericardial effusions. (nih.gov)
  • Chylothorax is a rare but serious condition caused by obstruction or disruption of the lymphatic branches draining the lower body and gastrointestinal tract. (fortuneonline.org)
  • Preoperative and Postoperative Lymphoscintigraphy Using Tc-99m Sulfur Colloid in the Repair of a Lymphatic Leak in a patient with Traumatic Chylothorax. (kfsyscc.org)
  • Congenital chylothorax is the leading cause of pleural effusion in neonates. (medscape.com)
  • Pseudochylothorax: Chylothorax must be distinguished from pseudochylothorax, or cholesterol pleurisy, which results from accumulation of cholesterol crystals in a chronic existing effusion. (medscape.com)
  • hyponatremia, hypocalcemia, and acidosisPseudochylothorax is another type of lipid effusion, but differs from chylothorax in that it is very cholesterol rich and contains no chylomicrons on lipoprotein electrophoresis. (crashingpatient.com)
  • Inclusion criteria: Adult patients with a recurrent MPE in the setting of known malignancy with either confirmed pleural involvement or no other identifiable cause for recurrent pleural effusion after a thorough work-up. (aabronchology.org)
  • It also reinforces the importance of the differential diagnosis of pleural effusion, recalling the hypothesis of chylothorax as an underlying cause. (fortuneonline.org)
  • Once chylothorax resolved, a 6-week diet of medium-chain triglycerides was given. (medscape.com)
  • Chylothorax is mainly treated by diet modification, including a low-fat diet or a diet with medium-chain triglycerides. (who.int)
  • Medscape states patients may have recurrent streptococcal cellulitis and lymphangitis, with subsequent hospitalizations for antibiotic therapy. (wikipedia.org)
  • Late presenting chylothorax responds more readily to conservative treatment as the leak volume is smaller and healing is more likely [3]. (who.int)
  • If the patient has an existing chest tube, excess drainage of 400-600 cc per 8-hour period is concerning for a chylous leak, particularly in postsurgical patients. (medscape.com)
  • This patient had coexisting ascites, and we performed paracentesis on ascitic fluid. (or.jp)
  • Fluid therapy and shock treatment are started at the same time the patient is being evaluated. (vin.com)
  • Randomized Trial of Pleural Fluid Drainage Frequency in Patients with Malignant Pleural Effusions. (aabronchology.org)
  • Twenty eight patients (50%) had to repeat the procedure for a second time, sixteen of which (28.6%) failed despite the second trial and twelve cases (21.4%) showed no fluid reaccumulation. (scirp.org)
  • Placement of a chest tube carries the risk of uncontrollable fluid loss and high mortality [10], however, some pulmonologists are still performing this maneuver and even in their experienced hands there still exists high mortality and difficulty in removal of the chest tube in a considerable number of patients [11]. (scirp.org)
  • Traditional treatment of hepatic hydrothorax in a patient who failed medical management of ascites remains problematic and controversial and no guideline for an ideal method is available at the present [8]. (scirp.org)
  • Cardiothoracic surgery was consulted and determined that the patient was not a surgical candidate as his clinical status would not tolerate single lung intubation or surgical stress. (asploro.com)
  • Lymphoma is the most common etiology, representing about 60% of all cases, with non-Hodgkin lymphoma more likely than Hodgkin lymphoma to cause chylothorax. (medscape.com)
  • Postoperatively outcomes were poor, the operation was complicated by bilateral chylothorax diagnosed on 10 th post-operative day and increasing oxygen needs. (bmj.com)
  • A standardised multi-site approach to manage paediatric post-operative chylothorax does not exist and leads to unnecessary practice variation. (cambridge.org)
  • Over 60 multi-disciplinary providers representing 22 centres convened virtually as a quality initiative to develop an algorithm to manage paediatric post-operative chylothorax. (cambridge.org)
  • The biochemical characteristics of cirrhotic chylothorax of a transudate are useful for diagnosis. (or.jp)
  • PURPOSE: To investigate the added role of IVIM-DWI in the differential diagnosis between DN and NDRD in patients with T2DM. (bvsalud.org)
  • The prognosis of lymphangiomyomatosis is poor, with 70% of patients not surviving more than 10 years after diagnosis. (wikidoc.org)
  • Patient was admitted at a cancer service and the diagnosis of classic Hodgkin's lymphoma of the nodular sclerosis subtype (stage II-B) was established. (fortuneonline.org)
  • I managed to load the saves even without installing the mods (there are some objects missing, but it doesn't seem to have an effect on how the hospital runs), but on my side, when I load the autosave and watch the patient go to the ICU (selecting the diagnosis by hand is needed), everything works as expected and all treatments work. (forumotion.com)
  • Sixteen patients who underwent surgical treatment with the diagnosis of vascular ring between 2003-2018 were included in this study. (ejcvsmed.org)
  • Herein, we present our ten years of early and late results of the patients who were operated at our hospital with the diagnosis of vascular ring. (ejcvsmed.org)
  • The patients who were operated with the diagnosis of vascular ring between 2005-2017 were included in this study. (ejcvsmed.org)
  • However, he had no further complications related to chylothorax and responded well to dietary modification. (who.int)
  • Caution is warranted in patients with HH due to an excess risk for complications. (bmj.com)
  • A rare complication is the appearance of lymphangiosarcoma or angiosarcoma in patients with persistent lymphedema. (wikipedia.org)
  • Usually, the patient remains asymptomatic until a large amount of chyle accumulates in the pleural space. (medscape.com)
  • Pleural effusions from all cirrhotic patients were transudates according to the criteria of Light et al. (omu.edu.tr)
  • Can data on efficacy and safety of indwelling pleural catheters (IPC) in malignant pleural effusions be extrapolated on patients with non-malignant pleural effusions, where the data basis is weak? (bmj.com)
  • It is highly important to keep in mind a suspicion for abdominal trauma every time we deal with traumatized patients. (vin.com)
  • Lymphangiomyomatosis with tuberous sclerosis , (when it occurs in patients of tuberous sclerosis ). (wikidoc.org)
  • In a patient who is a nonsurgical candidate, octreotide presents a better alternative. (aapsus.org)
  • Our patient was treated with octreotide and combined with medium chain triglyceride (MCT) with strict low fat/low calorie diet. (aapsus.org)
  • Spinal Gorham disease has high morbidity and mortality, but the course in an individual patient is difficult to predict. (nih.gov)
  • However, our patient is also uniquely impressive when compared to similarly published cases of Mallory Weiss conversion to Boerhaave's Syndrome given his survival with excellent clinical outcome leading to discharge home on oral diet despite his increased risk of morbidity based on his prolonged critical illness disease course. (asploro.com)
  • Non-grasping en bloc MLND enables en bloc dissection of mediastinal LNs with comparable morbidity and oncological efficacy while saving troubles of excessive interference of instruments and potential damage to the target LN. (medscape.com)
  • Clinicians must rule out all possible malignant causes before designating the chylothorax as idiopathic. (medscape.com)
  • In a patient with severe or multiple trauma initial assessment is made at the same time as other things are initiated to stabilize the patient. (vin.com)
  • Malignant etiologies account for more than 50% of chylothorax diagnoses and are separated into lymphomatous and nonlymphomatous causes. (medscape.com)
  • In critically ill patients, midodrine has been used as either an adjunctive oral therapy to wean vasoplegic patients off low dose intravenous vasopressor infusions, or as an oral vasopressor agent to prevent or minimise the need for intravenous infusion. (cicm.org.au)
  • Key questions remain on its role in managing critically ill patients before intensive care admission, during intensive care stay, and following discharge. (cicm.org.au)
  • This narrative review presents a comprehensive overview of midodrine use for the critical care physician and highlights why lingering questions around ideal patient selection, dosing, timing of initiation, and efficacy of midodrine for critically ill patients remain unanswered. (cicm.org.au)
  • On fifth day, the patient underwent a right thoracotomy. (bmj.com)
  • METHODS: We performed a retrospective analysis in which 27 EAML patients and 60 ccRCC patients underwent preoperative magnetic resonance imaging (MRI) at our institution. (bvsalud.org)
  • Between February 2009 and July 2013, 402 patients with clinical stage I non-small cell lung cancer (NSCLC) underwent "non-grasping en bloc MLND" conducted by one surgical team. (medscape.com)
  • During the study period, 13 patients who underwent surgery and had a birth weight of less than 1500g were found. (bvsalud.org)
  • I found out just now that I have a patient who died after three consecutive respiratory failures. (forumotion.com)
  • Upon evaluation by the surgical team, the patient appeared toxic and was in respiratory distress. (asploro.com)
  • Patients had no complaints except for one case with asthma. (ejcvsmed.org)
  • We presented here a case of a 17-year-old male patient who was diagnosed with hemangiolymphangioma after a videoassisted lung biopsy (VATS) with accompa-nying interstitial lung disease. (respircase.com)
  • After the VATS procedure, the patient developed chylothorax, and the pathology results indicated hemangiolymphangioma. (respircase.com)
  • This study aims to introduce an optimized method named "non-grasping en bloc mediastinal lymph node dissection (MLND)" through video-assisted thoracoscopic surgery (VATS). (medscape.com)
  • Interstitial lung features were ob-served in the patient s thorax computer tomography. (respircase.com)
  • Limited Resection for Lung Cancer in High Risk Patients. (kfsyscc.org)
  • 3. A Phase III trial to assess the safety, immunogenecity and preliminary efficacy of recombinant human EGF-rP64K/ Montanide ISA51 vaccine administered to patients with NSC lung cancer after receiving conventional first line chemoptherapy (BIOVEN) - A Multicenter international study. (webmedcentral.com)
  • 6 patients (37.5%) were diagnosed with double aortic arch, 7 patients (43.7%) had left arcus aorta associated with right aberrant subclavian artery and 3 patients (18.7%) had right arcus aorta and left ligamentum arteriosum. (ejcvsmed.org)
  • Ergaz Z, Bar-Oz B, Yatsiv I, Arad I. Congenital chylothorax: clinical course and prognostic significance. (medscape.com)
  • The Chylothorax Work Group utilised the Pediatric Critical Care Consortium infrastructure to address this gap. (cambridge.org)
  • Management nutritional therapy (MNT) for pediatric cardiology for pre-op, post- op patients, chylothorax patients. (med.om)
  • The first postoperative day was uneventful, but the second was complicated by severe left-sided chylothorax. (who.int)
  • On the second postoperative day, our patient developed severe chylothorax, which lasted for 21 days. (who.int)
  • rates vary by patient characteristics (age and comorbidities) and etiology. (medscape.com)