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Anesthetic Management of a Patient Undergoing Lymphangiography and Thoracic Duct Embolization for Chylothorax Following Coronary Artery Bypass Grafting

Year: 2025

Type: article

Abstract: ABSTRACT: The thoracic duct is susceptible to damage from a variety of surgical operations, including esophagectomy, lung resection, and mediastinal or aortic surgery, because of its anatomical placement. Lymphatic leaks are known as chylothorax, which is a common complication of coronary artery bypass grafting. However, In congenital cardiac surgeries, the incidence of chylothorax ranges from 2.5% to 4.7%, while in esophageal procedures, it is 0.4%-4%. There have been a few reports of a chylous lymphatic leak following coronary bypass surgery. In this case report, we would like to present the anesthetic management of a chyle leak that developed a couple of days following triple coronary arterial bypass surgery, which was successfully managed with suprainguinal fascia iliaca compartment block for the embolization of the lymphatic duct.

Source: Annals of African Medicine

DOI: 10.4103/aam.aam_244_24

Authors: Sunil Vasudev Rao, Keerthi Raj, Prajwal Siddappa, Ashna Shetty

Institutions: Manipal Academy of Higher Education, Kasturba Medical College, Mangalore, Kasturba Medical College, Manipal

Language: English

Topic: Lymphatic Disorders and Treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4411786827

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