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Open AccessCase Report

Use of Pleuroperitoneal Shunt in Chylothorax Related to Central Line Associated Thrombosis in Sickle Cell Disease

1
Department of Pediatrics, University of Louisecille, Louisville, KY 40202, USA
2
Department of Pediatric Surgery, University of Louisville, Louisville, KY 40202, USA
3
Department of Pediatric Hematology-Oncology, UC Davis, University of California, Sacramento, CA 95817, USA
4
Department of Pediatric Hematology-Oncology, University of Louisville, Louisville, KY 40206, USA
*
Author to whom correspondence should be addressed.
Children 2018, 5(1), 7; https://doi.org/10.3390/children5010007
Received: 21 November 2017 / Revised: 20 December 2017 / Accepted: 29 December 2017 / Published: 2 January 2018
(This article belongs to the Section Oncology and Hematology)
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. View Full-Text
Keywords: chylothorax; sickle cell disease; central vein thrombosis; pleuroperitoneal shunt chylothorax; sickle cell disease; central vein thrombosis; pleuroperitoneal shunt
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Spiwak, E.; Wiesenauer, C.; Panigrahi, A.; Raj, A. Use of Pleuroperitoneal Shunt in Chylothorax Related to Central Line Associated Thrombosis in Sickle Cell Disease. Children 2018, 5, 7.

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