• In cases of postoperative chylothorax, the first sign may be persistent drainage from intercostal drains. (wikipedia.org)
  • Historically the most common form of chylothorax was non-traumatic, but traumatic chylothoraces now represent the majority of cases, with most arising as postoperative complications of surgery. (wikipedia.org)
  • [ 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)
  • The first postoperative day was uneventful, but the second was complicated by severe left-sided chylothorax. (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)
  • On the second postoperative day, our patient developed severe chylothorax, which lasted for 21 days. (who.int)
  • Prevention of postoperative chylothorax with thoracic duct ligation during video-assisted thoracoscopic esophagectomy for cancer. (medscape.com)
  • 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)
  • Most cases of chylothorax are congenital (present at birth). (fetaltonewborn.org)
  • A chylothorax is an abnormal accumulation of chyle, a type of lipid-rich lymph, in the space surrounding the lung. (wikipedia.org)
  • Fever or chest pain are not usually associated with chylothorax, as chyle does not generate inflammation by itself. (wikipedia.org)
  • Chylothorax is caused by injury or obstruction of the thoracic duct or its main tributaries leading to chyle accumulation in the pleural space. (nih.gov)
  • Chylothorax results when chyle from the cisterna chyli-thoracic duct system gains access to the pleural space. (dvm360.com)
  • Neonatal chylothorax results from the accumulation of chyle in the pleural space and may be either congenital or an acquired condition. (unisciencepub.com)
  • Chyle leak and chylothorax is a well-described complication in thoracic surgery. (canjsurg.ca)
  • 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)
  • It can be acquired due to infection like pneumonia the chylous pleural effusion impair normal development of fetal lung by pressure effects and can lead to pulmonary hypoplasia Man¬agement of chylothorax is multidisplenary include neonatolo¬gist, pulmonologist, genetics, surgeon and dietitian. (unisciencepub.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)
  • Although the exact etiology of chylothorax in cats is often unknown, it has been linked to trauma, cancer, heart disease, and other underlying illnesses. (petcarerx.com)
  • The timing of surgical management is controversial and depends on the etiology of the chylothorax and the patient's overall condition. (medscape.com)
  • A malignant etiology of the chylothorax must be ruled out, as greater than 50% of cases are due to malignancy, of which lymphoma accounts for approximately 75% of cases, followed by lung carcinoma. (medscape.com)
  • Etiology and management of chylothorax following pediatric heart surgery. (medscape.com)
  • The most common cause of non-traumatic chylothoraces is cancer. (wikipedia.org)
  • Cancers like chronic lymphocytic leukemia, lung cancer, lymphoma, Kaposi sarcoma, metastatic carcinoma or esophageal cancer are potential causes of chylothorax. (wikipedia.org)
  • This review will focus on anatomical and aetiologic factors as well as the conservative and operative therapy of chylothorax. (nih.gov)
  • The first-line therapy of chylothorax is a combination of respiratory stabilization and dietary modification. (researchsquare.com)
  • Surgical management of chylothorax. (medscape.com)
  • Aetiology and management of chylothorax in adults. (litfl.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)
  • 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)
  • Thoracic duct ligation for persistent chylothorax after pediatric cardiothoracic surgery. (medscape.com)
  • Outcomes of Chylothorax Nonoperative Management After Cardiothoracic Surgery: A Systematic Review and Meta-Analysis. (bvsalud.org)
  • Octreotide as therapeutic option for congenital idiopathic chylothorax: a case series. (medscape.com)
  • Results -10 of 14 dogs had idiopathic chylothorax, and 4 had an identified disease. (avma.org)
  • All but 1 dog with idiopathic chylothorax and 1 dog with chylothorax from a heart base tumor had unsuccessful thoracic duct ligation prior to pump placement. (avma.org)
  • 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)
  • Chylothorax is characterized by the presence of lymphatic fluid with triglycerides and chylomicrons in the pleural cavity [1]. (fortuneonline.org)
  • The cornerstones of treatment for chylothorax conventionally consist of chest tube drainage (CTD), respiratory support, dietary restriction of long-chain triglycerides (LCT) or total parenteral nutrition (TPN). (researchsquare.com)
  • Many instances of chylothorax are mild, in which case they can sometimes resolve themselves or be cured by drainage of the fluid. (fetaltonewborn.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)
  • Complication due to prolong drain of chylothorax lead to impaired of lymphatic drainage and leads to infection. (unisciencepub.com)
  • The most common cause of an infectious chylothorax is a complication of tuberculous lymphadenitis. (wikipedia.org)
  • 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)
  • Our case is Down syndrome with congenital chylothorax which is rare complication. (unisciencepub.com)
  • Neurological delayed milestone in those babies with Down syndrome, there is several complication can occur in association with development of congenital chylothorax, these include pulmonary hypoplasia, malnutrition, hypernatre¬mia and fluid imbalance. (unisciencepub.com)
  • Chylothorax after thoracic surgery is a severe complication with high morbidity and mortality rate of 0.10 (95% confidence interval [CI] 0.06 - 0.02). (bvsalud.org)
  • Heart disease: Chylothorax can result from fluid accumulation in the lungs due to congestive heart failure. (petcarerx.com)
  • Chylothorax is an accumulation of lymph fluid around the lungs. (fetaltonewborn.org)
  • 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)
  • Neonates diagnosed with congenital chylothorax and treated at Innsbruck Medical University Hospital between 2013 and 2019 (n = 5, gestational age: 36 3/7, 32 5/7, 36 4/7, 35 0/7, 35 4/7) were eligible for this report. (researchsquare.com)
  • Further, we report the early introduction of long-chain fatty acids (LCFA) in the form of breast milk after resolution of chylothorax with favorable outcome in neonates with congenital chylothorax. (researchsquare.com)
  • Congenital chylothorax in neonates is serious problem .it was interfere with respiratory drive and need respiratory support, it can be diagnosed antenatal and mange. (unisciencepub.com)
  • Other operations like mediastinal tumor resection, thoracic aneurysm repair, sympathectomy, and any other surgeries that take place in the lower neck or the mediastinum can lead to chylothorax. (wikipedia.org)
  • 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)
  • 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)
  • About 2-3% of all fluid collections surrounding the lungs (pleural effusions) are chylothoraces. (wikipedia.org)
  • A large chylothorax may lead to breathlessness or a feeling of pressure in the chest, caused by fluid restricting the expansion of the lungs, although large chylothoraces may remain asymptomatic if the chylothorax has accumulated slowly, as the lungs may have had time to become used to the pressure. (wikipedia.org)
  • Chylothorax is a disorder in which lymphatic fluid collects in the pleural cavity, the space between the cat's lungs and chest wall. (petcarerx.com)
  • If the doctor thinks your baby may have fluid in the lungs or if your baby is showing symptoms of chylothorax, tests may be done to confirm the diagnosis. (fetaltonewborn.org)
  • Common tests for diagnosing chylothorax include a chest X-ray, an ultrasound , or thoracentesis, which has a needle drain the chylothorax, and pleural fluid analysis. (fetaltonewborn.org)
  • The treatment goals for chylothorax are to drain the fluid and keep it from building up again and to determine the cause so that it can also be treated. (fetaltonewborn.org)
  • Another common treatment method for chylothorax is inserting a chest tube through a small incision in the baby's chest to drain the excess fluid. (fetaltonewborn.org)
  • A thoracentesis yielded fluid with characteristics consistent with chylothorax, even though the pleural effusion was transudative. (or.jp)
  • 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)
  • We report a case of chylothorax due to liver cirrhosis. (omu.edu.tr)
  • 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)
  • In some cases, chylothorax only affects one lung, but in other cases it can affect both lungs. (fetaltonewborn.org)
  • Iatrogenic chylothorax after surgery is the most common variety of chylothorax. (wikipedia.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)
  • It also reinforces the importance of the differential diagnosis of pleural effusion, recalling the hypothesis of chylothorax as an underlying cause. (fortuneonline.org)
  • The biochemical characteristics of cirrhotic chylothorax of a transudate are useful for diagnosis. (or.jp)
  • Rapid breathing: An increased respiratory rate may be seen in cats with chylothorax. (petcarerx.com)
  • Treatment of chylothorax is multidisplenery need insertion of chest tube to decrease respiratory distress, diet management and pediatric surgery. (unisciencepub.com)
  • The incidence of chylothorax ranges from 0.4-4% in esophageal procedures to 2.5-4.7% in congenital cardiac procedures. (medscape.com)
  • Lymphangioleiomyomatosis, multifocal micronodular pneumocyte hyperplasia and pulmonary cysts develop during adulthood and manifest with dyspnea, pneumothorax, or chylothorax. (orpha.net)
  • Malignant etiologies account for more than 50% of chylothorax diagnoses and are separated into lymphomatous and nonlymphomatous causes. (medscape.com)
  • Congenital chylothorax in a late preterm infant and successful treatment with octreotide. (medscape.com)
  • showed in their literature review, most cases with early presenting chylothorax respond only to surgical procedures [1]. (who.int)
  • 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)
  • Malignancies are the most frequent cause of non-traumatic chylothorax. (wikipedia.org)
  • Central venous lines are a risk factor for chylothorax in infants after cardiac surgery. (medscape.com)
  • It is important to distinguish a chylothorax from a pseudochylothorax (a pleural effusion that happens to be high in cholesterol), which has a similar appearance visually but is caused by more chronic inflammatory processes and requires a different treatment. (wikipedia.org)
  • 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)
  • Is Octreotide Treatment Useful in Patients with Congenital Chylothorax? (medscape.com)
  • The early introduction of LCFA in the form of breast milk after resolution of chylothorax was associated with favourable outcome (no recurrence of pleural effusion and adequate weight gain). (researchsquare.com)
  • Late presenting chylothorax responds more readily to conservative treatment as the leak volume is smaller and healing is more likely [3]. (who.int)
  • The purpose of this report is to point out the feasibility of a fast change from LCT fat-free nutrition to full-fat nutrition once the chylothorax has dissolved, especially the early introduction of breast milk feeding / breastfeeding in infants with chylothorax. (researchsquare.com)
  • Traumatic Chylothorax: Approach and Outcomes. (nih.gov)
  • The symptoms of a chylothorax depend its size and the underlying cause. (wikipedia.org)
  • A small chylothorax may not cause any symptoms and only be detected on a chest X-ray performed for another reason. (wikipedia.org)
  • Clinicians must rule out all possible malignant causes before designating the chylothorax as idiopathic. (medscape.com)
  • CENTRAL MESSAGE Nonoperative treatment for chylothorax after cardiothoracic procedures has significant hospital stay , morbidity , mortality , and reoperation rates. (bvsalud.org)