Chylous cyst-venous shunt for the management of central conducting lymphatic anomaly

Miguel Angel Amore; Sofia Alexia Salvia; Cristobal Miguel Papendieck

doi:10.1016/j.jvscit.2021.02.005

Chylous cyst-venous shunt for the management of central conducting lymphatic anomaly

J Vasc Surg Cases Innov Tech. 2021 Feb 26;7(2):235-238. doi: 10.1016/j.jvscit.2021.02.005. eCollection 2021 Jun.

Authors

Miguel Angel Amore^{1

2

3}, Sofia Alexia Salvia¹, Cristobal Miguel Papendieck²

Affiliations

¹ Vascular Anomalies Committee, Cardiovascular Surgery Division, Central Military Hospital, Buenos Aires, Argentina.
² Angiopediatria Foundation, Buenos Aires, Argentina.
³ Lymphology Unit, University Hospital, Favaloro Foundation, Buenos Aires, Argentina.

Abstract

We present the case of a 45-year-old man who had presented with ubiquitous chylous reflux that manifested as a bilateral inguinal chylous cutaneous fistula and a voluminous right cervical chylous cyst. He had difficulty breathing owing to compression of the airway. Anastomosis of the chylous cyst wall with the external jugular vein was performed using a valvular vein segment to prevent blood reflux. Postoperatively, anticoagulant therapy was initiated. We found this derivative surgical procedure to be an effective and minimally invasive technique for complex lymphatic anomalies.

Keywords: Chylothorax; Chylous ascites; Chylous reflux; Lymphatic malformations; Thoracic duct.

Publication types

Case Reports