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Implantation of a pleurovenous shunt for massive chylothorax in a patient with yellow nail syndrome

¹ Department of Respiratory Medicine, Tenri Hospital, Tenri, Nara 632-0076, Japan
² Department of Thoracic Surgery, Tenri Hospital, Tenri, Nara 632-0076, Japan

Correspondence to:
Correspondence to:
Dr E Tanaka
Department of Respiratory Medicine, Tenri Hospital, Mishima 200, Tenri, Nara 632-0076, Japan; eisakut{at}tenriyorozu-hp.or.jp

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.

Keywords: yellow nail syndrome; chylothorax; pleurovenous shunt