Document Detail


Successful management of severe chylothorax with argon plasma fulguration and fibrin glue in a premature infant.
MedLine Citation:
PMID:  14618523     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Post-traumatic neonatal chylothorax is a rare entity. Management includes medical and surgical treatment. We describe here a newborn who developed a severe chylothorax after repair of an oesophageal atresia. The chylothorax was treated successfully by a combination of argon beam coagulation of the mediastinum and fibrin glue application. However, the patient developed complete thrombosis of the left femoral vein with clot extension to the inferior vena cava which resolved after infusion of recombinant tissue plasminogen activator (rt-PA). The use of argon plasma coagulation and mediastinal fibrin glue application for treating postoperative chylothorax appears to be attractive and is easy to perform even in small premature infants and may replace a more extensive surgical procedure. However, the coagulation profile should be monitored and special care should be taken to prevent vascular thrombosis after surgery.
Authors:
N Rifai; R Sfeir; T Rakza; J Alameh; R Besson; P Lequien; L Storme
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie     Volume:  13     ISSN:  0939-7248     ISO Abbreviation:  Eur J Pediatr Surg     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-11-17     Completed Date:  2004-04-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9105263     Medline TA:  Eur J Pediatr Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  324-6     Citation Subset:  IM    
Affiliation:
Department of Neonatology, Jeanne de Flandre Hospital, CHRU Lille, Lille, France.
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MeSH Terms
Descriptor/Qualifier:
Argon
Chylothorax / etiology,  surgery*
Electrocoagulation*
Esophageal Atresia / surgery
Female
Fibrin Tissue Adhesive / therapeutic use*
Humans
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Polyhydramnios
Postoperative Care
Postoperative Complications / surgery
Pregnancy
Thoracotomy
Treatment Outcome
Chemical
Reg. No./Substance:
0/Fibrin Tissue Adhesive; 7440-37-1/Argon

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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