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Chylothorax treatment with thoracic duct embolization

V Chovanec, J Drugda, M Lojík

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti

|February 9, 2023

Summary

This study details a successful thoracic duct embolization for non-traumatic chylothorax. The minimally invasive procedure offered a recurrence-free outcome for the patient after five months.

Keywords:

chylothorax embolisation embolization intranodal lymphography thoracic duct

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Area of Science:

Interventional Radiology
Thoracic Surgery
Vascular Medicine

Background:

Chylothorax, characterized by lymphatic fluid in the pleural space, poses a significant clinical challenge, particularly in non-traumatic cases.
Traditional management often involves conservative measures or more invasive surgical interventions with varying success rates.

Observation:

A case report focusing on a patient experiencing non-traumatic right-sided chylothorax.
The condition was successfully managed using a minimally invasive endovascular technique.

Findings:

Thoracic duct embolization, performed via the cisterna chyli visualized through intranodal lymphography, proved effective.
The embolization utilized coils and acrylic tissue glue, achieving complete resolution of the chylothorax.

Implications:

This case highlights thoracic duct embolization as a viable and effective treatment option for non-traumatic chylothorax.
The technique offers a less invasive alternative, potentially reducing patient morbidity and hospital stay.
Successful embolization suggests a promising approach for managing similar lymphatic leaks in the thoracic cavity.