PT  - JOURNAL ARTICLE
AU  - E Tanaka
AU  - K Matsumoto
AU  - T Shindo
AU  - Y Taguchi
TI  - Implantation of a pleurovenous shunt for massive chylothorax in a patient with yellow nail syndrome
AID  - 10.1136/thx.2003.015925
DP  - 2005 Mar 01
TA  - Thorax
PG  - 254--255
VI  - 60
IP  - 3
4099  - http://thorax.bmj.com/content/60/3/254.short
4100  - http://thorax.bmj.com/content/60/3/254.full
SO  - Thorax2005 Mar 01; 60
AB  - 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.