Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
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CASE REPORT
Year : 2014  |  Volume : 9  |  Issue : 2  |  Page : 124-126

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


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

Correspondence Address:
Yasser M Aljehani
Department of Surgery, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

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DOI: 10.4103/1817-1737.128862

PMID: 24791177

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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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