Chylopericardium and chylothorax, resulting from a catheter to the left subclavian vein: an autopsy report.
A 47-year-old woman with long-standing myelofibrosis and thrombocytosis whose spleen was removed 9 days prior to death, died of a heart tamponade. Subsequent autopsy revealed the development of chylothorax and chylopericardium due to the existence of a thrombus obstructing the ostium of the left thoracic duct, as a consequence of the particular location of a central venous catheter in the left subclavian vein in the proximity of the confluence of the left thoracic duct in the afore-mentioned vein.
Smedts
F
F
Department of Pathology, University Hospital Nijmegen, The Netherlands.
Kubat
K
K
Chande
H
H
D002305:Cardiac Tamponade / Q000473:pathology*; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D002916:Chylothorax / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012128:Respiratory Distress Syndrome / Q000473:pathology / Q000628:therapy*; D013350:Subclavian Vein / Q000473:pathology; D013897:Thoracic Duct / Q000473:pathology; D013927:Thrombosis / Q000473:pathology