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Chylothorax--a rare complication after cardiac surgery (a case report)
Jirí Mand'ák1, Petr Habal, Milan Stĕtina
1Charles University in Prague, Faculty of Medicine and University Hospital Hradec Králové, Czech Republic. jiri.mandak@centrum.cz
Acta Medica (Hradec Kralove)
|May 6, 2011
Summary
Chylothorax, a rare cardiac surgery complication, can be effectively treated. This case study shows pleural drainage and parenteral nutrition successfully managed a patient with post-operative chylothorax.
Area of Science:
- Cardiovascular Surgery
- Thoracic Medicine
- Gastroenterology
Background:
- Chylothorax is an uncommon yet serious complication following cardiac surgery.
- Risk factors and typical presentations require further elucidation.
Observation:
- A 76-year-old female with ischemic heart disease developed left-sided chylothorax on postoperative day nine.
- The patient had undergone coronary artery bypass grafting utilizing a left internal mammary artery pedicle graft.
Findings:
- Biochemical analysis confirmed the presence of chyle in the pleural effusion.
- The patient's condition was successfully managed with a combination of pleural drainage and total parenteral nutrition.
Implications:
- This case highlights a viable treatment strategy for post-cardiac surgery chylothorax.
- Early recognition and prompt intervention are crucial for favorable outcomes in managing chylothorax.
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