Thoracic duct-subclavian vein anastomosis in management of cirrhotic ascites.

Abstract

Reanastomosis of the thoracic duct and subclavian vein has been performed in three patients with intractable ascites. Following surgery, these patients were placed on a loop-blocking diuretic plus Aldactone, and prompt diuresis ensued with gradual improvement in the ascites. Improvement in the ascites was probably the result of several factors including removal of obstruction at the upper end of the thoracic duct, mobilization of fluid in the intravascular space, improved lymphatic drainage, and diuretic effect. Complications included necessity for re-exploration in one patient and development of encephalopathy in a second patient.

• Authors: E L Coodley, T Matsumoto
• Journal: The American journal of the medical sciences (Am J Med Sci) 1980 May-Jun Vol. 279 Issue 3 Pg. 163-7 ISSN: 0002-9629 [Print] United States
• PMID: 7424962 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Ascites (surgery)
• Female
• Humans
• Hypertension, Portal (surgery)
• Jugular Veins (surgery)
• Liver Cirrhosis (surgery)
• Male
• Middle Aged
• Subclavian Vein (surgery)
• Thoracic Duct (surgery)