What question did this study set out to answer?

To address cervical chyle leak as a complication following carotid-subclavian bypass and evaluate the effectiveness of indocyanine green for localization and ligation.

March 28, 2026Journal of Surgical Case ReportsOpen Access

Indocyanine green-assisted chyle leak identification and ligation after left carotid-subclavian bypass: a case report

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Authors

DSDiego SotoComplejo Asistencial Sótero del Río RJRicardo JiménezPontificia Universidad Católica de Chile LCLuis ContrerasPontificia Universidad Católica de Chile

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Implication

A case report demonstrates successful chyle leak management with indocyanine green imaging, suggesting its use in surgical settings.

Key Points

To address cervical chyle leak as a complication following carotid-subclavian bypass and evaluate the effectiveness of indocyanine green for localization and ligation.
Reported a case of a 62-year-old male with chyle leak after carotid-subclavian bypass and aortic repair.
Used indocyanine green fluorescence imaging for intraoperative localization of the leaking vessel.
Performed successful surgical re-exploration to ligate the identified lymphatic vessel.
Initial conservative management provided temporary improvement but recurrence occurred after dietary fats reintroduction.
Indocyanine green imaging allowed accurate identification of the leaking vessel during surgery.
Postoperative recovery was uneventful with complete resolution of the cervical chyle leak.

Cite This Study

Soto et al. (2026) studied this question.

synapsesocial.com/papers/69c7724e8bbfbc51511e2af5 https://doi.org/10.1093/jscr/rjag192

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Indocyanine green-assisted chyle leak identification and ligation after left carotid-subclavian bypass: a case report

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Key Points

Cite This Study

Indocyanine green-assisted chyle leak identification and ligation after left carotid-subclavian bypass: a case report

Discussion

Member takes

Implication

Key Points

Cite This Study

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