Kucera John, Lee Katie F, Koelling Erin, Sexton Jonathan Jay
Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, MD.
Department of Vascular Surgery, Walter Reed National Military Medical Center, Bethesda, MD.
J Vasc Surg Cases Innov Tech. 2025 Apr 14;11(4):101808. doi: 10.1016/j.jvscit.2025.101808. eCollection 2025 Aug.
A 63-year-old man presented to the vascular surgery clinic with an enlarging left subclavian artery aneurysm owing to proximal compression by the anterior scalene muscle. He underwent open repair with a rifampin-soaked Dacron graft and developed a postoperative chyle leak. We describe our management and propose a protocolized deployment of surgical, dietary, pharmacological, and interventional techniques to resolve chyle leaks rapidly and prevent infections in the presence of a prosthetic vascular graft.
一名63岁男性因前斜角肌近端压迫导致左锁骨下动脉瘤增大，前来血管外科门诊就诊。他接受了用利福平浸泡的涤纶移植物进行的开放修复手术，术后出现乳糜漏。我们描述了我们的处理方法，并提出了一套程序化的手术、饮食、药物和介入技术方案，以迅速解决乳糜漏问题，并在存在人工血管移植物的情况下预防感染。
