Implantation of a pleurovenous shunt for massive chylothorax in a patient with yellow nail syndrome

Tanaka, E.; Matsumoto, K.; Shindo, I.; Taguchi, Y.
March 2005
Thorax;Mar2005, Vol. 60 Issue 3, p254
Academic Journal
Yellow nail syndrome is a type of lymphatic dysplasia syndrome characterised by the triad of yellow nails, lymphoedema, and pleural effusions. The case history is presented of a 70 year old patient with yellow nail syndrome who complained of dyspnoea caused by massive chylothorcix. The patient underwent insertion of a pleuroperitonecil shunt which resulted in abdominal distension and deterioration of leg oedema. The pleuroperitoneal shunt was replaced by a pleurovenous shunt on the right side which led to an improvement in the bilateral pleural effusions, abdominal distension, and leg oedema. A pleurovenous shunt may. be an alternative rescue therapy for yellow nail syndrome.


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