1984
DOI: 10.1055/s-2007-1023363 View full text |Buy / Rent full text
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Abstract: Chylothorax as a complication of cardiovascular surgery has a reported incidence of lower than 0.5% and is extremely rare following intrapericardial procedures. Chylopericardium in particular has a reported incidence even lower than that of chylothorax. The origin of these complications is, in either case, a direct injury to the thoracic duct or a thrombosis at the junction of the left jugular and subclavian veins obstructing thoracic duct drainage and, finally, injury to the anterior mediastinum lymphatics in… Show more

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“…In two patients, chylous fluid was detected in the pericardial or mediastinal drains immediately after open-heart surgery, 8,9 while in three other patients it presented within 6 days. 4,13 In 11 of the surveyed cases 2-3,5-7,10-14 and in the present case, however, more than 10 days passed before the first pericardiocentesis or surgical drainage.…”
Section: Discussionmentioning
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“…In two patients, chylous fluid was detected in the pericardial or mediastinal drains immediately after open-heart surgery, 8,9 while in three other patients it presented within 6 days. 4,13 In 11 of the surveyed cases 2-3,5-7,10-14 and in the present case, however, more than 10 days passed before the first pericardiocentesis or surgical drainage.…”
Section: Discussionmentioning
“…Postoperative chylothorax has been described following almost every known cardiothoracic surgical procedure as well as neck surgery. These procedures include congenital diaphragmatic hernia repair, 22 radical neck dissection, 23 spinal surgery, 24 gastric resection, 25 congenital heart surgery, 26 coronary bypass surgery, 27,28 heart transplantation, 29 and lung resection. 30,31 Both transhiatal and transthoracic esophageal resection can be followed by chylothorax.…”
Section: Causes Of Chylothoraxmentioning
“…Effused chyle may be present in the pericardium after the repair of complex congenital anomalies, valve replacement, and myocardial revascularization [1][2][3] . This report describes the mediastinal lymphatic anatomy that predisposes to postoperative chyle leaks, discusses the operative mechanisms that cause injury and outlines the management of this perplexing complication with a protracted surgical course.…”
Section: Introductionmentioning