Chylothorax secondary to venous outflow obstruction treated with transcervical retrograde thoracic duct cannulation with embolization and venous reconstruction

Abstract A chylothorax may be due to either direct trauma or occlusion of the thoracic duct. Treatments include antegrade or retrograde glue and coil embolization as well as thoracic duct stent graft placement. This report describes a patient with chylothorax secondary to venous outflow occlusion. L...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2018-09, Vol.4 (3), p.193-196
Main Authors: Chick, Jeffrey Forris Beecham, MD, MPH, DABR, Hage, Anthony N., BS, Patel, Nishant, MD, MBA, Gemmete, Joseph J., MD, FSIR, Meadows, J. Matthew, MD, Srinivasa, Ravi N., MD
Format: Article
Language:English
Subjects:
Central venous occlusion
Chylothorax
Embolization
Innovative technique
Retrograde
Surgery
Thoracic duct
Venous reconstruction
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Summary:Abstract A chylothorax may be due to either direct trauma or occlusion of the thoracic duct. Treatments include antegrade or retrograde glue and coil embolization as well as thoracic duct stent graft placement. This report describes a patient with chylothorax secondary to venous outflow occlusion. Left upper extremity venography demonstrated multifocal left brachiocephalic and axillary vein occlusions with retrograde filling of an engorged and disrupted thoracic duct. Retrograde thoracic duct lymphangiography with embolization and left upper extremity venous reconstruction were performed with complete resolution of chylothorax.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2018.03.010