title: Chylothorax as a complication of innominate vein thrombosis induced by a peripherally inserted central catheter.
abstract: A 5-month-old boy with hypoplastic left heart syndrome developed chylothorax and oedema of the left upper arm more than 2 months after recovering from a Norwood stage II operation. Venography showed occlusion of the innominate vein with abundant collaterals crossing the midline to join the right internal jugular vein. The occlusion was caused by a peripherally inserted central catheter under systemic heparinisation. This case highlights the importance of a patent venous pathway, especially in patients with a cavopulmonary connection in the upper extremities.
authors.affiliation: Department of Pediatrics, National Taiwan University Hospital, Taipei.
authors.forename: E T
authors.initials: ET
authors.lastname: Wu
authors.forename: M
authors.initials: M
authors.lastname: Takeuchi
authors.forename: H
authors.initials: H
authors.lastname: Imanaka
authors.forename: T
authors.initials: T
authors.lastname: Higuchi
authors.forename: K
authors.initials: K
authors.lastname: Kagisaki
mesh_terms: D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000379:methods; D002916:Chylothorax / Q000209:etiology*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery; D007223:Infant; D008297:Male; D011182:Postoperative Care / Q000009:adverse effects; D011859:Radiography; D020246:Venous Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging