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Ann Thorac Med. 2014 Apr;9(2):124-6. doi: 10.4103/1817-1737.128862.

Successful management of bilateral refractory chylothorax after double lung transplantation for lymphangioleiomyomatosis.

Author information

1
Department of Surgery, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia ; Department of Cardiothoracic Surgery, Ain Shams University, Cairo, Egypt.
2
Department of Surgery, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.

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.

KEYWORDS:

Chylothorax; lung transplantation; lymphangioleiomyomatosis; pleurodesis; povidone iodine

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