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Thoracic duct stenting as a treatment for chylothorax and chylous ascites in patient with Yellow Nail Syndrome
Vendelin Chovanec1,2, Pavol Viglas1,3, Jan Raupach1,2
1Department of Radiology, Faculty of Medicine in Hradec Kralove, Charles University, Hradec Kralove, Simkova 870, 500 03, Hradec Kralove, Czech Republic.
Purpose:
To report the approach, technical success, safety, and short-term outcomes of thoracic duct stenting for treating chylothorax and chylous ascites in a patient with Yellow Nail Syndrome.
Case Report:
A 57-year-old male with Yellow Nail Syndrome, characterized by yellow thickened nails, lymphedema, and respiratory abnormalities, required repeated thoracocenteses for chylothorax. A thoracic duct intervention involving percutaneous transluminal angioplasty and balloon-expandable stent implantation via retrograde access was performed. Procedure characteristics, clinical success, complications, and follow-up were recorded.
Conclusions:
Thoracic duct stenting was a safe and technically successful procedure. After the procedure, the patient was relieved of symptoms. This technique could be considered for patients with recurrent chylothorax and chylous ascites, including those with Yellow Nail Syndrome. Further research is required to validate these findings.
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