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

Document Type

Article

Publication Title

Annals of African Medicine

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.

First Page

933

Last Page

936

DOI

10.4103/aam.aam_244_24

Publication Date

10-1-2025

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