publication . Article . 2018

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

Vedran Premuzic; Ranko Smiljanic; Drazen Perkov;
Open Access English
  • Published: 01 Jan 2018 Journal: Egyptian Journal of Anaesthesia (issn: 1110-1849, Copyright policy)
  • Publisher: Taylor & Francis Group
Abstract
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 mo...
Subjects
free text keywords: Thoracic duct injury, Conservative treatment, Permanent central venous catheter, Anesthesiology, RD78.3-87.3, Anesthesiology and Pain Medicine
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