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- Title
Chylothorax after off-pump coronary artery bypass graft surgery: Management strategy.
- Authors
Waikar, Hemant Digambar; Kamalaneson, Peter; MohamadZamri, Mohamad Saleh; Jayakrishnan, Aylliath Gosalakkal; Mohamad Zamri, Mohamad Saleh
- Abstract
Chylothorax is a rare complication after cardiac surgery but is associated with morbidity and mortality. The most common cause of chylothorax is damage to or avulsion of thoracic duct by electrocautery during left internal thoracic artery harvesting for coronary artery bypass graft (CABG) surgery. We describe a case of chylothorax after off-pump CABG, which was successfully treated with thoracostomy tube drainage, withholding of oral intake, total parenteral nutrition and subcutaneous octreotide, a somatostatin analog, and chemical pleurodesis.
- Subjects
CHYLOTHORAX; CORONARY artery bypass; MYOCARDIAL revascularization; CARDIOVASCULAR disease treatment; COMPLICATIONS of cardiac surgery; CARDIAC rehabilitation; THERAPEUTICS; OCTREOTIDE acetate; TREATMENT of surgical complications; GASTROINTESTINAL agents; CARDIAC surgery; PARENTERAL feeding; DISEASE management; MEDICAL drainage
- Publication
Annals of Cardiac Anaesthesia, 2018, Vol 21, Issue 3, p300
- ISSN
0971-9784
- Publication type
case study
- DOI
10.4103/aca.ACA_212_17