Successful management of bilateral refractory chylothorax after double lung transplantation for lymphangioleiomyomatosis
Annals of Thoracic Medicine. 2014; 9 (2): 124-126
in English
| IMEMR
| ID: emr-142000
ABSTRACT
Lymphangioleiomyomatosis [LAM] is a rare disease that leads to airways and lymphatic channels obstruction due to abnormal smooth muscle proliferation. It presents with dyspnea, pneumothorax or chylothorax. Lung transplantation [LT] has emerged as a valuable therapeutic option with limited reports. We report a case of LAM that underwent double LT and complicated by refractory bilateral chylothorax which was managed successfully by povidone-iodine pleurodesis and the addition of sirolimus to the post-transplantation immunosuppressive therapy. The patient has no recurrence with 24 months follow-up.
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Povidone-Iodine
/
Radiography, Thoracic
/
Tomography, X-Ray Computed
/
Lung Transplantation
/
Lymphangioleiomyomatosis
/
Pleurodesis
/
Disease Management
/
Sirolimus
Type of study:
Case report
Limits:
Female
/
Humans
Language:
English
Journal:
Ann. Thorac. Med.
Year:
2014
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