Chylothorax after off-pump coronary artery bypass graft surgery: Management strategy
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Date
2018-07
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer - Medknow
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.
Description
Keywords
Chylothorax, octreotide, off‑pump coronary artery bypass graft
Citation
Waikar Hemant Digambar, Kamalaneson Peter, Zamri Mohamad Saleh Mohamad, Jayakrishnan Aylliath Gosalakkal. Chylothorax after off-pump coronary artery bypass graft surgery: Management strategy. Annals of Cardiac Anaesthesia. 2018 Jul; 21(3): 300-303