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Summary
High translumbar aortograms can lead to chylothorax, a rare complication causing shortness of breath. Early diagnosis and management are crucial, though surgical intervention may be necessary.
Area of Science:
- Cardiology
- Thoracic Surgery
- Diagnostic Imaging
Background:
- Translumbar aortography is an imaging technique used to visualize the aorta and its branches.
- Arterial disease diagnosis can involve invasive procedures like aortography.
- Chylothorax is the accumulation of chyle in the pleural space.
Purpose of the Study:
- To report two cases of chylothorax following translumbar aortography.
- To review the literature on chylothorax as a complication of aortography.
- To discuss the management strategies for post-aortography chylothorax.
Main Methods:
- Case report of two patients.
- Review of existing medical literature on chylothorax and aortography.
- Analysis of management approaches, including conservative and surgical options.
Main Results:
- Two patients developed chylothorax 48 hours post-aortography.
- Initial conservative management failed in both cases.
- Surgical intervention was required, with one patient mortality.
Conclusions:
- Chylothorax is a potential complication of translumbar aortography.
- Prompt recognition and appropriate management are vital for patient outcomes.
- Further research into preventative and therapeutic strategies is warranted.