Novel use of a Synovis™ coupler device for a surgical lymphovenous anastomosis for the treatment of refractory chylothorax in a patient with central lymphatic flow disorder

Joshua Rezkalla; Majid Husain; Ginger Slack; Sanjay Sinha

doi:10.1002/ccr3.5636

Novel use of a Synovis™ coupler device for a surgical lymphovenous anastomosis for the treatment of refractory chylothorax in a patient with central lymphatic flow disorder

Clin Case Rep. 2022 Mar 20;10(3):e05636. doi: 10.1002/ccr3.5636. eCollection 2022 Mar.

Authors

Joshua Rezkalla¹, Majid Husain², Ginger Slack³, Sanjay Sinha^{2

4}

Affiliations

¹ Department of Cardiology Mayo Clinic Rochester Minnesota USA.
² Division of Pediatric Cardiology Department of Pediatrics David Geffen School of Medicine at UCLA Los Angeles California USA.
³ Department of Plastic Surgery David Geffen School of Medicine at UCLA Los Angeles California USA.
⁴ Division of Pediatric Cardiology Department of Pediatrics University of California Irvine-Children's Hospital of Orange County Orange California USA.

Abstract

Refractory post-operative chylothorax in congenital heart disease is difficult to treat. We present a case of intractable neonatal chylothorax after cardiac surgery due to central lymphatic flow disorder that was treated by creating a lymphovenous anastomosis of the thoracic duct to the left external jugular vein for definitive treatment.

Keywords: cardiothoracic surgery; cardiovascular disorders; congenital heart disease; critical care medicine; lymphatics.

Publication types

Case Reports