Chylothorax due to left brachiocephalic vein thrombosis 
as a late complication of pacemaker implantation

Dariusz Tomaszewski; Tomasz Marjański; Witold Rzyman

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

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4/2011
vol. 8

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abstract:

Chylothorax due to left brachiocephalic vein thrombosis as a late complication of pacemaker implantation

Dariusz Tomaszewski

,

Tomasz Marjański

,

Witold Rzyman

Kardiochirurgia i Torakochirurgia Polska 2011; 4: 494–496

Online publish date: 2011/12/28

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Pacemaker implantation resulting in lymph leakage to the pleural cavity is exceptionally rarely reported in the medical literature. We report a case of a 87-year-old patient who developed left brachiocephalic vein thrombosis on pacemaker electrodes 12 years after implantation. Due to lack of flow from the thoracic duct to the left venous angle, the thoracic duct cracked and lymph leaked to the right pleural cavity. Supradiaphragmatic ligation of the thoracic duct in right thoracotomy efficiently ceased lymph leakage.

keywords:

Chylothorax due to left brachiocephalic vein thrombosis as a late complication of pacemaker implantation

Dariusz Tomaszewski , Tomasz Marjański , Witold Rzyman

chylothorax, thoracic duct, pacemaker

Dariusz Tomaszewski

,

Tomasz Marjański

,

Witold Rzyman