Use of pleuroperitoneal shunt in chylothorax related to central line associated thrombosis in sickle cell disease

Elizabeth Spiwak, Chad Wiesenauer, Arun Panigrahi, Ashok Raj

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Central vein thrombosis as a cause of chylothorax is uncommon, and in a few cases in the literature was related to thrombotic complications of central venous access devices (CVAD). Superior vena cava (SVC) occlusion-induced chylothorax has been described in adult sickle cell disease (SCD) in a setting of chronic indwelling CVAD. There are limited reports on chylothorax induced by central venous thrombosis secondary to chronic CVAD in children with SCD. We describe an 8-year-old male patient, with a history of SCD, maintained on long term erythrocytapheresis for primary prevention of stroke, and whose clinical course was complicated by chylothorax which was successfully treated with a pleuroperitoneal shunt.

Original languageEnglish (US)
Article number7
JournalChildren
Volume5
Issue number1
DOIs
StatePublished - Jan 2018

Keywords

  • Central vein thrombosis
  • Chylothorax
  • Pleuroperitoneal shunt
  • Sickle cell disease

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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