Orhan BİNİCİ, Uğur GÖKTAŞ, Yasemin ISIK, İsmail KATI

Cylothorax developing due to thrombosis in the subclavian vein

Santral venöz kateterizasyonun nadir bir komplikasyonu olan şilotoraks duktus torasikusun bütünlüğünün bozulması sonucu oluşan plevral aralıkta lenfatik sıvı birikimidir. Bu olgu raporunda subklaviyen ven kateterizasyonu sonrası gelişen trombusa bağlı şilotoraksı irdeleyeceğiz.

Subklavyen vendeki trombüs nedeniyle şilotoraks

Chylothorax, which is a rare complication of central venous catheterization, is an accumulation of lymphatic fluid in the pleural space as a result of impairment of the integrity of ductus thoracicus. In this case report, we will look over chylothorax related to thrombus developing following subclavian vein catheterization.

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1. W.Schummer, C.Schummer, E.Hoffmann. Chylothorax nach Anlage eines zentralvenösen Katheters. Anaesthesist 2003;52:91924.
2. Frassinelli P, Pasquale MD, Cipolle MD, Rhodes M. Utility of chest radiographs after guide wire exchanges of cen- tral venous catheters. Crit Care Med 1998;26:611-5.
3. Moyers JR. Application of the basic physical examination to intraoperative monitoring. In: Morgan GE, Mikhail MS, Murray MJ, editors. Clinical anesthesiology. 4th ed. New York: McGraw-Hill Medical; 2006. pp. 148-69.
4. David LR, Mittnacht JCA, Manecke GR, Kaplan JA. Monitoring of the heart and vascular system. In: Kaplan JA, Reich DL, Savino SJ, editors. Cardiac Anesthesia. 6th ed. Philadelphia: W.B. Saunders, 2010. pp. 416-50.
5. Yilmazlar A, Bilgin H, Korfali G, Eren A, Ozkan U. Complications of 1303 central venous catheterizations. J Roy Soc Med 1997;90:319-21.
6. Berman W Jr, Fripp RR, Yabek SM, Wernly J, Corlew S. Great vein and right atrial thrombosis in critically ill infants and children with central venous lines. Chest 1991;99:963-7.
7. Demirhan R, Cevik A, Kucuk HF, Altintas M, Kurt N. Traumatıc chylothorax: case report Turkish j thorac car- diovasc surg 2003;11:50-1.
8. Hui-Fang Hsu, Yi-Hung Chou, Chao-Ran Wang, Shu-Chuan Wu. Catheter-Related Superior Vena Cava Syndrome Complicated by Chylothorax in a Premature Infant Chang Gung Med J 2003;26:782-6.
9. Berkenbosch JW., Monteleone PM, and Tobias JD. Chylothorax Following Apparently Spontaneous Central Venous Thrombosis in a Patient With Septic Shock Pediatric Pulmonology 2003;35:2303.
10. Wu ET, Takeuchi M, Imanaka H, Higuchi T, Kagisaki K.Chylothorax as a complication of innominate vein throm- bosis induced by a peripherally inserted central catheter. Anaesthesia 2006;61:584-6.