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Thoracic duct ligation as treatment of chylothorax due to vena cava superior thrombosis

S Van Biervliet1, K De Waele, S Vande velde

  • 1Paediatric gastroenterology, University Hospital Ghent, Ghent, Belgium. Stephanie.vanbiervliet@ugent.be

Acta Clinica Belgica
|August 16, 2011
PubMed

Insights

Subclavian vein catheterization can lead to superior vena cava thrombosis, a rare cause of chylothorax in infants. Surgical thoracic duct ligation successfully treated this complication when conservative methods failed.

Area of Science:

  • Pediatric Medicine
  • Vascular Surgery
  • Critical Care

Background:

  • Subclavian vein catheterization is a common procedure for parenteral nutrition in infants.
  • Thrombosis of the subclavian vein and superior vena cava are known complications.
  • Superior vena cava thrombosis can rarely lead to chylothorax.

Observation:

  • An infant developed chylothorax following subclavian vein catheterization for parenteral nutrition.
  • The infant's condition was attributed to superior vena cava thrombosis.
  • Conservative management for the chylothorax was unsuccessful.

Findings:

  • Superior vena cava thrombosis was confirmed as the cause of chylothorax.
  • Surgical ligation of the thoracic duct was performed.
  • The chylothorax resolved after surgical intervention.

Implications:

  • This case highlights a rare but serious complication of central venous catheterization in infants.
  • Surgical thoracic duct ligation is an effective treatment for refractory chylothorax secondary to venous thrombosis.
  • Early recognition and intervention are crucial for managing this condition.

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