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A protocolized approach to chyle leaks to mitigate prosthetic graft infection

Year: 2025

Type: article

Abstract: A 63-year-old man presented to the vascular surgery clinic with an enlarging left subclavian artery aneurysm owing to proximal compression by the anterior scalene muscle. He underwent open repair with a rifampin-soaked Dacron graft and developed a postoperative chyle leak. We describe our management and propose a protocolized deployment of surgical, dietary, pharmacological, and interventional techniques to resolve chyle leaks rapidly and prevent infections in the presence of a prosthetic vascular graft.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.101808

Authors: John Kucera, Katie F. Lee, Erin Koelling, Jonathan Jay Sexton

Institution: Walter Reed National Military Medical Center

Language: English

Topic: Infectious Aortic and Vascular Conditions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250