Chylothorax after off-pump coronary artery bypass graft surgery: Management strategy

Area of Science:

• Cardiothoracic Surgery
• Thoracic Surgery
• Surgical Complications

Background:

• Chylothorax is a rare but serious complication following cardiac surgery.
• Thoracic duct injury during left internal thoracic artery harvesting for coronary artery bypass graft (CABG) is a common cause.
• This condition is associated with significant morbidity and mortality.

Observation:

• A case of chylothorax occurred after off-pump coronary artery bypass graft (CABG) surgery.
• The patient presented with symptoms indicative of chylothorax post-operation.

Findings:

• Successful management was achieved through a multi-modal approach.
• Treatment included thoracostomy tube drainage, cessation of oral intake, and total parenteral nutrition.
• Administration of subcutaneous octreotide and chemical pleurodesis were key components of the treatment strategy.

Implications:

• This case highlights a successful conservative management strategy for post-cardiac surgery chylothorax.
• The described treatment regimen offers a viable option for managing this rare complication.
• Effective management can mitigate the morbidity and mortality associated with chylothorax.