Chylothorax following innominate vein thrombosis: a rare complication of transvenous pacemaker implantation.
A case of chylothorax following innominate vein thrombosis, which developed as a late complication of transvenous pacemaker implantation, is discussed. A 78-year-old man presented with a refractory left-sided pleural effusion, which turned out to be chylothorax. He had undergone a transvenous pacemaker implantation 6 years earlier for sick sinus syndrome. The aetiological workup showed occlusion of the innominate vein as the cause for the chylothorax. The chylothorax resolved following pleurodesis with talc slurry, and the innominate vein was recanalized by angioplasty. To our knowledge this is the first report of a case of this nature.
Thomas
Rajesh
R
Department of Pulmonary Medicine, The Christian Medical College, Vellore, India.
Christopher
D J
DJ
Roy
Anil
A
Rose
Anand
A
Chandy
Sunil Thomas
ST
Cherian
Rekha Aley
RA
Rima
Jeeva
J
D000368:Aged; D016122:Brachiocephalic Trunk; D002916:Chylothorax / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004567:Electrodes, Implanted / Q000009:adverse effects; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D020246:Venous Thrombosis / Q000150:complications*