Chylothorax after coronary artery bypass surgery. Report of a case and review of the literature

Khan, Anish; Khan, Zahid Mahmood; Refy, Abdelbasset El; Badry, Ahmad Mahmood El; Babiker, Tarig Faisal

doi:10.37616/2212-5043.1031

Cited by 2 publications

(2 citation statements)

References 10 publications

(14 reference statements)

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“…Tube thoracostomy is the accepted first step in treatment 1 . Conservative approach includes stopping oral feeds and starting parenteral nutrition consisting of medium‐chain fatty acids followed by a similar oral diet when the chyle drainage has decreased significantly and use of pharmacological adjuncts such as somatostatin, octreotide, and etilefrine hydrochloride 1,4,13 . This regimen is tried for 10–14 days and if the drain does not decrease a more invasive strategy is used.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Chylothorax after coronary artery bypass grafting: Is it always early?

Kanna

Arora

Goel

et al. 2021

Journal of Cardiac Surgery

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Background Chylothorax is a rare complication of cardiothoracic surgical interventions and usually presents early in the postoperative period. Materials and Methods We present a case of 63 years female who presented with chylothorax 5 months after undergoing coronary artery bypass surgery. Discussion and Conclusion Chylothorax should be considered in patients with recurrent pleural effusions even if the effusions do not have the typical milky appearance. Although chylothorax in most cases will present early in post operative period, it should be remembered that it can present in a delayed manner. Morbidity and health care costs associated with this entity can be remarkably high and therefore it is of great importance to diagnose and treat it.

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Section: Discussionmentioning

confidence: 99%

“…More invasive options include performing a thoracotomy or median sternotomy 13 . The invasive strategy helps to take care of the leaks definitively and includes thoracic duct ligation, suturing and application of biosealants to leaking areas and creating pleural flaps to cover them 5 …”

Section: Discussionmentioning

confidence: 99%