Chylothorax after Off-pump Coronary Artery Bypass Graft Surgery: Management Strategy

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. W...

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Autores principales: Waikar, Hemant Digambar, Kamalaneson, Peter, Mohamad Zamri, Mohamad Saleh, Jayakrishnan, Aylliath Gosalakkal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078034/
https://www.ncbi.nlm.nih.gov/pubmed/30052221
http://dx.doi.org/10.4103/aca.ACA_212_17
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author Waikar, Hemant Digambar
Kamalaneson, Peter
Mohamad Zamri, Mohamad Saleh
Jayakrishnan, Aylliath Gosalakkal
author_facet Waikar, Hemant Digambar
Kamalaneson, Peter
Mohamad Zamri, Mohamad Saleh
Jayakrishnan, Aylliath Gosalakkal
author_sort Waikar, Hemant Digambar
collection PubMed
description 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.
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spelling pubmed-60780342018-08-21 Chylothorax after Off-pump Coronary Artery Bypass Graft Surgery: Management Strategy Waikar, Hemant Digambar Kamalaneson, Peter Mohamad Zamri, Mohamad Saleh Jayakrishnan, Aylliath Gosalakkal Ann Card Anaesth Case Report 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. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6078034/ /pubmed/30052221 http://dx.doi.org/10.4103/aca.ACA_212_17 Text en Copyright: © 2018 Annals of Cardiac Anaesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Waikar, Hemant Digambar
Kamalaneson, Peter
Mohamad Zamri, Mohamad Saleh
Jayakrishnan, Aylliath Gosalakkal
Chylothorax after Off-pump Coronary Artery Bypass Graft Surgery: Management Strategy
title Chylothorax after Off-pump Coronary Artery Bypass Graft Surgery: Management Strategy
title_full Chylothorax after Off-pump Coronary Artery Bypass Graft Surgery: Management Strategy
title_fullStr Chylothorax after Off-pump Coronary Artery Bypass Graft Surgery: Management Strategy
title_full_unstemmed Chylothorax after Off-pump Coronary Artery Bypass Graft Surgery: Management Strategy
title_short Chylothorax after Off-pump Coronary Artery Bypass Graft Surgery: Management Strategy
title_sort chylothorax after off-pump coronary artery bypass graft surgery: management strategy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078034/
https://www.ncbi.nlm.nih.gov/pubmed/30052221
http://dx.doi.org/10.4103/aca.ACA_212_17
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