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Published on: November 29, 2018
VATS thoracic duct clipping in post-CABG with chylothorax
Samir Gupta1, Anurag Garg2, Santhosh Nanjappa1
1Department of Surgical Oncology, Dr. D.Y.Patil Medical College, Hospital and Research Center, Dr D Y Patil Vidyapeeth, Sant Tukaram Nagar, Pimpri, Pune, 411018 Maharashtra India.
Post-coronary artery bypass graft (CABG) surgery can lead to chylothorax, a rare complication. This case highlights successful surgical management of chylothorax using video-assisted thoracoscopic surgery (VATS) after medical treatment failed.
Area of Science:
- Cardiothoracic Surgery
- Thoracic Surgery
- Surgical Complications
Background:
- Chylothorax is a rare but serious complication following coronary artery bypass graft (CABG) surgery.
- Early diagnosis and prompt management are crucial for patient outcomes.
Observation:
- A 49-year-old female developed milky pleural effusion on post-operative day 2 after CABG.
- Biochemical analysis confirmed chylothorax.
Findings:
- Medical management failed to resolve the chylothorax.
- Video-assisted thoracoscopic surgery (VATS) was performed, involving clipping of the thoracic duct on the right side.
- Disrupted thoracic duct tributaries near the left internal thoracic artery were identified and clipped.
Implications:
- This case underscores the importance of considering chylothorax in post-CABG patients with unexplained pleural effusions.
- VATS offers a viable surgical option for refractory chylothorax.
- Highlighting the rarity and successful management of this complication can guide future clinical practice.
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