CardioVascular and Interventional Radiology

, Volume 42, Issue 3, pp 481–483 | Cite as

The Use of Non-ionic Contrast Agent for Lymphangiography and Embolization of the Thoracic Duct

  • Mohammed H. Alomari
  • Anna Lillis
  • Cindy Kerr
  • Jane W. Newburger
  • Luis Quinonez
  • Ahmad I. AlomariEmail author
Letter to the Editor

The authors report the successful use of non-ionic contrast agent for intranodal lymphangiography and subsequent embolization of refractory postoperative chylothorax in an infant with congenital heart disease and contraindication to the use of ethiodized oil contrast (Lipiodol) due to right-to-left shunting.

A 7-month-old female with complex congenital heart disease (including situs ambiguous, double-outlet single right ventricle and atrioventricular canal defect) developed right chylous pleural effusion following takedown of a modified Blalock–Taussig shunt. She was treated with chest tube placement, withholding oral intake and parenteral nutrition. Following 5 weeks of persistent effusion, intranodal MR lymphangiography was performed demonstrating contrast leak into the right pleural space. Due to the risk of stroke related to intracardiac right-to-left shunt, lymphangiography using Lipiodol (Lipiodol Ultra-Fluide, Guerbet, France) was not considered. After 9 weeks of refractory...


Compliance with Ethical Standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  • Mohammed H. Alomari
    • 1
  • Anna Lillis
    • 1
  • Cindy Kerr
    • 1
  • Jane W. Newburger
    • 2
  • Luis Quinonez
    • 3
  • Ahmad I. Alomari
    • 1
    Email author
  1. 1.Division of Vascular and Interventional RadiologyChildren’s Hospital Boston and Harvard Medical SchoolBostonUSA
  2. 2.Department of CardiologyChildren’s Hospital Boston and Harvard Medical SchoolBostonUSA
  3. 3.Department of Cardiac SurgeryChildren’s Hospital Boston and Harvard Medical SchoolBostonUSA

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