Successful Intranodal Lymphangiography for Refractory Chylothorax in a Neonate with Congenital Heart Disease
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- Tsuboi Kaori
- Department of Pediatrics, Toyama University Hospital
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- Ibuki Keijiro
- Department of Pediatrics, Toyama University Hospital
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- Yamamoto Masayoshi
- Department of Radiology, Teikyo University Hospital
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- Nakaoka Hideyuki
- Department of Pediatrics, Toyama University Hospital
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- Ozawa Sayaka
- Department of Pediatrics, Toyama University Hospital
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- Yoshimura Naoki
- Department of 1st Surgery, Toyama University Hospital
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- Hirono Keiichi
- Department of Pediatrics, Toyama University Hospital
Bibliographic Information
- Other Title
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- 先天性心疾患術後難治性乳び胸に対してリピオドールリンパ管造影が有効であった新生児の一例
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Abstract
<p>Interventional radiology (IVR) is a new effective therapeutic strategy for chylothorax. However, reports of IVR applied in children, especially neonates, are limited. Herein, we report the case of a 1-day-old neonate with complete transposition of the great arteries, ventricular septal defect, and right aortic arch. She underwent pulmonary artery banding at 13 days of age, and during thoracotomy, chylothorax was observed. We started tube feeding on postoperative day 3. On postoperative day 6, a considerable amount of chyle (170 mL/day) was drained; hence, a conservative treatment was introduced but was subsequently found to be ineffective. We performed intranodal lymphangiography (IL) on postoperative day 11. Consequently, the chylothorax improved 3 days later. Therefore, IL was effective for the management of neonatal postoperative chylothorax. In conclusion, IL is less invasive than surgical treatment and is effective against refractory chylothorax. However, further case reports of children and neonates who have undergone IL are necessary to confirm these findings.</p>
Journal
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- Pediatric Cardiology and Cardiac Surgery
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Pediatric Cardiology and Cardiac Surgery 37 (3), 227-232, 2021-11-01
Japanese Society of Pediatric Cardiology and Cardiac Surgery
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Keywords
Details 詳細情報について
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- CRID
- 1390572244890925184
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- NII Article ID
- 130008140095
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- ISSN
- 21872988
- 09111794
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed