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JYMS : Journal of Yeungnam Medical Science

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Jihoon Hong 1 Article
Transpedal lymphatic embolization for lymphorrhea at the graft harvest site after coronary artery bypass grafting
Jung Guen Cha, Sang Yub Lee, Jihoon Hong, Hun Kyu Ryeom, Gab Chul Kim, Young Woo Do
Yeungnam Univ J Med. 2021;38(1):74-77.   Published online July 20, 2020
DOI: https://doi.org/10.12701/yujm.2020.00297
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  • 4 Crossref
AbstractAbstract PDF
Lymphorrhea is a rare but potentially severe complication that occurs after various surgical procedures. Untreated lymphorrhea may lead to wound dehiscence, infection, and prolonged hospital stay. Currently, there is no standard effective treatment. Early management usually includes leg elevation, drainage, and pressure dressing. However, these methods are associated with prolonged recovery and high recurrence rates. We report a case of lymphorrhea from a calf wound after endoscopic great saphenous vein (GSV) harvesting for coronary artery bypass grafting (CABG). The patient presented with intractable oozing from the postoperative wound on the right calf. Lymphorrhea perGsisted for 6 weeks despite negative-pressure wound therapy with a long-acting somatostatin. We performed unilateral pedal lymphangiography that confirmed wound lymphorrhea, followed by glue embolization. No recurrence was observed after 8 months of follow-up. This case report demonstrates the successful use of lymphangiography with glue embolization in the control of lymphorrhea after GSV harvesting for CABG.

Citations

Citations to this article as recorded by  
  • Free Chimeric Anterolateral Thigh Flap with Vastus Lateralis Muscle Transfer for the Treatment of Intractable Upper Arm Lymphorrhea due to Large Upper Body Lymphangioma
    Sei Yoshida, Hideki Kadota, Kentaro Anan, Nobuaki Hatakeyama
    International Journal of Surgical Wound Care.2024; 5(2): 46.     CrossRef
  • Supermicrosurgical lymphatic venous anastomosis for intractable lymphocele after great saphenous vein harvesting graft
    Hirofumi Imai, Shuhei Yoshida, Toshiro Mese, Solji Roh, Isao Koshima
    Journal of Vascular Surgery Cases, Innovations and Techniques.2022; 8(1): 45.     CrossRef
  • Update February 2021
    Francine Blei
    Lymphatic Research and Biology.2021; 19(1): 96.     CrossRef
  • Lymphatic complications after harvesting venous conduits in coronary artery bypass grafting surgery
    D. V. Manvelyan, Yu. Y. Vechersky, V. V. Zatolokin, M. S. Kuznetsov, B. N. Kozlov
    The Siberian Journal of Clinical and Experimental Medicine.2021; 36(3): 27.     CrossRef

JYMS : Journal of Yeungnam Medical Science