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A case of chylothorax due to venous thrombosis caused by central venous catheter

Yıl 2022, Cilt: 61 Sayı: 4, 677 - 679, 12.12.2022

Dilara Gürsoy Ahmet Kayahan Tekneci Tevfik İlker Akçam Alpaslan Çakan

https://doi.org/10.19161/etd.1208976

Öz

The venous thrombosis (VT) often occurs as a result of central venous catheterization (CVC). When the VT extends into the angulus venosus where the ductus thoracicus drains, lymphatic flow may stop chylothorax may develop. A 76-year-old patient who developed chylothorax as a result of the VT due to long-term CVC and later died is presented. It was emphasized the VT may be the cause of chylothorax and the patients with CVC should be checked regularly for the development of thrombosis.      

Anahtar Kelimeler

Venous thrombosis chylothorax central venous catheter

Kaynakça

  • Parienti JJ, Mongardon N, Megarbane B, et al. Intravascular complications of central venous catheterization by insertion site. N Engl J Med 2015; 373 (13): 1220-9.
  • Berman Jr W, Fripp RR, Yabek SM, et al. Great vein and right atrial thrombosis in critically ill infants and children with central venous lines. Chest 1991; 99 (4): 963-7.
  • Odendaal J, Kong VY, Sartorius B, et al. Mechanical complications of central venous catheterisation in trauma patients. Ann R Coll Surg Engl 2017; 99: 390–3.
  • Riley LE, Ataya A. Clinical approach and review of causes of a chylothorax. Respiratory Medicine 2019; 157: 7–13.
  • Miller JI. Anatomy of the thoracic duct and chylothorax. In: General Thoracic Surgery. Shields TW, LoCicero III J, Ponn RB (eds). Lippincott Williams and Wilkins, Philadelphia 2000; 747-56.
  • Siu SLY, Yang JYK, Hui JPK, et al. Chylothorax secondary to catheter-related thrombosis successfully treated with heparin. J Paediatr Child Health 2012; 48 (3): E105-7.
  • Akçam Tİ, Kavurmacı Ö, Tekneci AK, et al. A rare post-operative thoracic surgery complication: chylothorax. Curr Thorac Surg 2017; 2 (2): 58-63.
  • Kiyonaga M, Mori H, Matsumoto S, et al. Thoracic duct and cisterna chyli: evaluation with multidetector row CT. Br J Radiol 2012; 85: 1052-8.

Santral venöz kateterin neden olduğu venöz tromboz zemininde gelişen şilotoraks olgusu

Yıl 2022, Cilt: 61 Sayı: 4, 677 - 679, 12.12.2022

Dilara Gürsoy Ahmet Kayahan Tekneci Tevfik İlker Akçam Alpaslan Çakan

https://doi.org/10.19161/etd.1208976

Öz

Venöz tromboz (VT) santral venöz kateterizasyon (SVK) sonucu ortaya çıkabilmektedir. VT duktus torasikus’un drene olduğu angulus venosus’a uzanıp lenfatik akımı engellediğinde şilotoraks gelişebilmektedir. Uzun süreli SVK’ya bağlı VT sonucu şilotoraks ortaya çıkan ve yaşamını yitiren 76 yaşındaki bir olgu sunularak; hem VT’nin şilotoraks nedeni olabileceği hem de SVK’lı olguların tromboz gelişimi açısından düzenli kontrollerinin yapılması gerektiği vurgulanmak istenmiştir.

Anahtar Kelimeler

Venöz tromboz şilotoraks santral venöz kateter

Kaynakça

  • Parienti JJ, Mongardon N, Megarbane B, et al. Intravascular complications of central venous catheterization by insertion site. N Engl J Med 2015; 373 (13): 1220-9.
  • Berman Jr W, Fripp RR, Yabek SM, et al. Great vein and right atrial thrombosis in critically ill infants and children with central venous lines. Chest 1991; 99 (4): 963-7.
  • Odendaal J, Kong VY, Sartorius B, et al. Mechanical complications of central venous catheterisation in trauma patients. Ann R Coll Surg Engl 2017; 99: 390–3.
  • Riley LE, Ataya A. Clinical approach and review of causes of a chylothorax. Respiratory Medicine 2019; 157: 7–13.
  • Miller JI. Anatomy of the thoracic duct and chylothorax. In: General Thoracic Surgery. Shields TW, LoCicero III J, Ponn RB (eds). Lippincott Williams and Wilkins, Philadelphia 2000; 747-56.
  • Siu SLY, Yang JYK, Hui JPK, et al. Chylothorax secondary to catheter-related thrombosis successfully treated with heparin. J Paediatr Child Health 2012; 48 (3): E105-7.
  • Akçam Tİ, Kavurmacı Ö, Tekneci AK, et al. A rare post-operative thoracic surgery complication: chylothorax. Curr Thorac Surg 2017; 2 (2): 58-63.
  • Kiyonaga M, Mori H, Matsumoto S, et al. Thoracic duct and cisterna chyli: evaluation with multidetector row CT. Br J Radiol 2012; 85: 1052-8.
Toplam 8 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Olgu Sunumu
Yazarlar

Dilara Gürsoy

Ahmet Kayahan Tekneci

Tevfik İlker Akçam

Alpaslan Çakan

Yayımlanma Tarihi 12 Aralık 2022
Gönderilme Tarihi 22 Mart 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 61 Sayı: 4

Kaynak Göster

Vancouver Gürsoy D, Tekneci AK, Akçam Tİ, Çakan A. Santral venöz kateterin neden olduğu venöz tromboz zemininde gelişen şilotoraks olgusu. ETD. 2022;61(4):677-9.
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