title: A staged management of prolonged chylothorax in a patient with yellow nail syndrome.
abstract: Spontaneous chylothorax remains an unusual condition with diverse aetiologies and non-unified management strategies. Owing to the rarity of the condition, the evidence of management remains from case reports and limited retrospective studies. This case represents a difficult-to-manage chylothorax secondary to yellow nail syndrome with initial failure of both surgical and conservative treatment methods. Pleurovenous shunting represents a surgical management approach allowing the patient to live with and control an ongoing chyle leak.
authors.affiliation: Department of Thoracic Surgery, Norfolk and Norwich University Hospital, UK. jtidder@doctors.org.uk
authors.forename: James
authors.initials: J
authors.lastname: Tidder
authors.forename: Chun Lap
authors.initials: CL
authors.lastname: Pang
mesh_terms: D000368:Aged; D002404:Catheterization; D002913:Chyle; D002916:Chylothorax / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D013350:Subclavian Vein; D035423:Thoracic Cavity; D056684:Yellow Nail Syndrome / Q000473:pathology / Q000601:surgery*