{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:03:13Z","timestamp":1753876993187,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Persistent chylothorax is a major challenge in paediatric patients. We present a case of a 6.5 kg, 1-year-old boy with superior vena cava syndrome and persistent chylothorax who underwent successful surgery without cardiopulmonary bypass. His medical history included multiple comorbidities such as myeloproliferative disease, short bowel syndrome and central vein catheterizations. The patient also had innominate vein thrombosis, progressing to superior vena cava, and was on anticoagulants. Despite dietary changes and somatostatin, his high-output chylous pleural effusion persisted. He was treated with innominate vein-to-right atrial bypass using a 6-mm Dacron graft. Postoperatively, there was a significant reduction in effusion and accelerated recovery. Somatostatin failure was likely due to mechanical obstruction of the thoracic duct.<\/jats:p>","DOI":"10.1093\/icvts\/ivae176","type":"journal-article","created":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T05:58:06Z","timestamp":1730181486000},"source":"Crossref","is-referenced-by-count":0,"title":["Treatment of concomitant persistent chylothorax and superior vena cava syndrome through innominate vein-right atrial bypass"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8927-4785","authenticated-orcid":false,"given":"Emrah","family":"\u015ei\u015fli","sequence":"first","affiliation":[{"name":"Section of Paediatric Cardiovascular Surgery, Department of Cardiovascular Surgery, Osmangazi University Faculty of Medicine , Eski\u015fehir, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3397-9841","authenticated-orcid":false,"given":"Arzu Funda","family":"Tarhan","sequence":"additional","affiliation":[{"name":"Section of Paediatric Cardiovascular Surgery, Department of Cardiovascular Surgery, Osmangazi University Faculty of Medicine , Eski\u015fehir, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2245-5340","authenticated-orcid":false,"given":"Eylem","family":"K\u0131ral","sequence":"additional","affiliation":[{"name":"Section of Paediatric Intensive Care, Department of Paediatrics, Osmangazi University Faculty of Medicine , Eski\u015fehir, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5041-8892","authenticated-orcid":false,"given":"G\u00fcrkan","family":"Bozan","sequence":"additional","affiliation":[{"name":"Section of Paediatric Intensive Care, Department of Paediatrics, Osmangazi University Faculty of Medicine , Eski\u015fehir, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,10,28]]},"reference":[{"key":"2024110700005025800_ivae176-B1","doi-asserted-by":"crossref","first-page":"e27225","DOI":"10.1002\/pbc.27225","article-title":"Pediatric superior vena cava syndrome: an evidence-based systematic review of the literature","volume":"65","author":"Nossair","year":"2018","journal-title":"Pediatr Blood Cancer"},{"key":"2024110700005025800_ivae176-B2","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1093\/icvts\/ivab155","article-title":"How efficacious are Octreotide and Somatostatin in the management of chylothorax in congenital cardiac surgical patients?","volume":"33","author":"Madhavan","year":"2021","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2024110700005025800_ivae176-B3","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.jvir.2011.10.008","article-title":"Delayed complications following 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