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  • Title: Implantation of a pleurovenous shunt for massive chylothorax in a patient with yellow nail syndrome.
    Author: Tanaka E, Matsumoto K, Shindo T, Taguchi Y.
    Journal: Thorax; 2005 Mar; 60(3):254-5. PubMed ID: 15741446.
    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.
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