publication . Article . 2018

A conservative approach to a thoracic duct injury caused by left subclavian vein catheterization

V. Premuzic; Ranko Smiljanic; Drazen Perkov;
Open Access
  • Published: 01 Jan 2018 Journal: Egyptian Journal of Anaesthesia, volume 34, pages 41-42 (eissn: 1110-1849, Copyright policy)
  • Publisher: Informa UK Limited
Abstract
Thoracic duct injury is a rare complication of left subclavian vein catheterization. A significant injury could lead to chylothorax, a condition with high mortality rate if not treated. It is diagnosed with lymphography or by laboratory tests of pleural fluid aspirate. A 51 year old Caucasian male with a history of unregulated hypertension presented to our Emergency department (ED) with anginous symptoms and increased serum creatinine level. After the placement of a temporary central venous catheter for hemodialysis in left subclavian vein, he developed lymph leakage on puncture site beside the catheter, at drainage rate of 75 ml/h. In the absence of more seriou...
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doi: 10.1016/j.egja.2017.09.001
Subjects
free text keywords: Anesthesiology and Pain Medicine, Thoracic duct injury, Permanent central venous catheter, Anesthesiology, RD78.3-87.3, Mortality rate, Complication, Chylothorax, medicine.disease, medicine, Radiology, medicine.medical_specialty, Thoracic duct, medicine.anatomical_structure, Conservative treatment, Surgery, Left subclavian vein, business.industry, business
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