1. Interposition of great saphenous vein on lymphatic venous anastomosis for infantile intractable chylothorax
- Author
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Motoi Kato, MD, PhD, Takahiro Hirayama, MD, Hiroshi Kawashima, MD, Azusa Watanabe, MD, and Shoji Watanabe, MD, PhD
- Subjects
Chylothorax ,Jugular vein ,Lymphatic venous anastomosis ,Thoracic duct ,Vein graft ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Central lymphatic diseases such as intractable chylothorax can be fatal. Lymphatic venous anastomosis at the venous angle level is expected to give a direct therapeutic effect because it opens the obstructed outlet of the main lymphatic vessels. However, the original methods resulted in some important issues, such as the potential for venous reflux. In the present case, we modified the original anastomosis method by interposing a vein graft with venous valves to increase the distance and prevent venous reflux. Collecting the lymphatic flow resulted in termination of the chylothorax with preserved postoperative patency for years, without any complications, including at the graft-harvested extremity.
- Published
- 2023
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