title: Implantation of a pleurovenous shunt for massive chylothorax in a patient with yellow nail syndrome.
abstract: Yellow nail syndrome is a type of lymphatic dysplasia syndrome characterised by the triad of yellow nails, lymphoedema, and pleural effusions. The case history is presented of a 70 year old patient with yellow nail syndrome who complained of dyspnoea caused by massive chylothorax. The patient underwent insertion of a pleuroperitoneal shunt which resulted in abdominal distension and deterioration of leg oedema. The pleuroperitoneal shunt was replaced by a pleurovenous shunt on the right side which led to an improvement in the bilateral pleural effusions, abdominal distension, and leg oedema. A pleurovenous shunt may be an alternative rescue therapy for yellow nail syndrome.
authors.affiliation: Department of Respiratory Medicine, Tenri Hospital, Mishima 200, Tenri, Nara 632-0076, Japan. eisakut@tenriyorozu-hp.or.jp
authors.forename: E
authors.initials: E
authors.lastname: Tanaka
authors.forename: K
authors.initials: K
authors.lastname: Matsumoto
authors.forename: T
authors.initials: T
authors.lastname: Shindo
authors.forename: Y
authors.initials: Y
authors.lastname: Taguchi
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods; D002916:Chylothorax / Q000150:complications / Q000601:surgery*; D004322:Drainage / Q000295:instrumentation / Q000379:methods; D004417:Dyspnea / Q000209:etiology; D006801:Humans; D008209:Lymphedema / Q000209:etiology; D008297:Male; D009260:Nail Diseases / Q000150:complications*; D019152:Paracentesis / Q000009:adverse effects; D010859:Pigmentation Disorders / Q000150:complications*; D010994:Pleura / Q000601:surgery; D010996:Pleural Effusion / Q000209:etiology; D013577:Syndrome