Case Reports
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Journal of Structural Heart Disease, April 2017, Volume 3, Issue 2:49-54
DOI: 10.12945/j.jshd.2017.010.16
Intravascular Stent Implantation as Effective Therapy for Refractory Chylothorax Secondary to Congenital Superior Vena Cava Stenosis in an Infant
David Joseph Harrison, MD1, Patrick Morris Sullivan, MD2, Grant Christman, MD3, Cheryl Takao, MD2
1 Children’s Hospital Los Angeles, Division of Pediatrics, Los Angeles. California, USA
2 Children’s Hospital Los Angeles, Division of Pediatric Cardiology, Los Angeles, California, USA
3 Children’s Hospital Los Angeles, Division of Hospital Medicine, Los Angeles, California, USA
Abstract
Chylothorax is a rare but dangerous cause of respiratory failure in the pediatric population. It most commonly presents after cardiac surgery, or alternatively, due to retrograde pressures on the thoracic duct from narrowing or obstruction in the innominate vein due to thrombus or neoplasm. The following case is an unusual presentation of chylothorax in an otherwise healthy 3-month-old infant with congenital superior vena cava (SVC) stenosis leading to acute respiratory collapse. The patient was successfully treated with an intravascular stent, which resolved his symptoms after they did not initially respond to medical therapy.
Cite this article as: Harrison DJ, Sullivan PM, Christman G, Takao C. Intravascular Stent Implantation as Effective Therapy for Refractory Chylothorax Secondary to Congenital Superior Vena Cava Stenosis in an Infant. Structural Heart Disease 2017;3(2):49-54. DOI: 10.12945/j.jshd.2017.010.16
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Case Reports
Journal of Structural Heart Disease, April 2017, Volume 3, Issue 2:49-54
DOI: 10.12945/j.jshd.2017.010.16
Intravascular Stent Implantation as Effective Therapy for Refractory Chylothorax Secondary to Congenital Superior Vena Cava Stenosis in an Infant
David Joseph Harrison, MD1, Patrick Morris Sullivan, MD2, Grant Christman, MD3, Cheryl Takao, MD2
1 Children’s Hospital Los Angeles, Division of Pediatrics, Los Angeles. California, USA
2 Children’s Hospital Los Angeles, Division of Pediatric Cardiology, Los Angeles, California, USA
3 Children’s Hospital Los Angeles, Division of Hospital Medicine, Los Angeles, California, USA
Abstract
Chylothorax is a rare but dangerous cause of respiratory failure in the pediatric population. It most commonly presents after cardiac surgery, or alternatively, due to retrograde pressures on the thoracic duct from narrowing or obstruction in the innominate vein due to thrombus or neoplasm. The following case is an unusual presentation of chylothorax in an otherwise healthy 3-month-old infant with congenital superior vena cava (SVC) stenosis leading to acute respiratory collapse. The patient was successfully treated with an intravascular stent, which resolved his symptoms after they did not initially respond to medical therapy.
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Cite this article as: Harrison DJ, Sullivan PM, Christman G, Takao C. Intravascular Stent Implantation as Effective Therapy for Refractory Chylothorax Secondary to Congenital Superior Vena Cava Stenosis in an Infant. Structural Heart Disease 2017;3(2):49-54. DOI: 10.12945/j.jshd.2017.010.16
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