Robotic-assisted thoracoscopic thoracic duct ligation with fluorescence imaging with indocyanine green for chylothorax after thoracoabdominal aneurysm repair
Annarita Santoro, MD, Diego Soto, MD, Stefano Viscardi, MD and 3 more
Journal of Vascular Surgery Cases and Innovative Techniques · 2025
doi:10.1016/j.jvscit.2025.101807 (opens in a new tab)
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Abstract
Postoperative chylothorax (POC) is an uncommon complication after thoracoabdominal aortic aneurysm (TAAA) open surgical repair. We report the case of a 70-year-old woman previously treated with ascending aorta replacement who presented with a 60-mm extent II TAAA. TAAA open surgical repair was performed. A POC was diagnosed on postoperative day 5. After failed conservative therapy, on postoperative day 24 a robotic-assisted thoracic duct (TD) ligation using indocyanine green fluorescence achieved POC complete resolution, the patient tolerated a full diet and was discharged. At the 3-month clinical follow-up, the patient is well. Robotic-assisted thoracic duct ligation with indocyanine green provided effective minimally invasive treatment with good results.
Abstract licence: CC BY-NC-ND
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