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Related Experiment Videos

Chylothorax following median sternotomy

R Zaidenstein1, N Cohen, V Dishi

  • 1Department of Internal Medicine A, Assaf Harofeh Medical Center, Zerifin, Israel.

Clinical Cardiology
|November 1, 1996
PubMed
Summary

Chylothorax after coronary artery bypass grafting is rare but potentially serious. Early diagnosis via diagnostic tap and preventive drainage are recommended for post-CABG pleural effusions.

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Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Pulmonology

Background:

  • Chylothorax (CT) is a rare complication following median sternotomy.
  • Only 16 cases have been reported in English literature, with 6 following coronary artery bypass grafting (CABG).

Observation:

  • This report details an additional case of a 70-year-old woman who developed left pleural chylous effusion post-CABG.
  • The patient's condition suggests a potentially higher incidence of CT than previously documented.

Findings:

  • The study highlights a case of chylothorax following coronary artery bypass grafting.
  • The authors propose that the actual incidence of CT post-CABG may be underestimated.

Implications:

  • Chylothorax can cause significant pulmonary and pleural functional impairment.

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  • Increased diagnostic thoracentesis and consideration of preventive drainage for post-CABG pleural effusions are recommended to manage CT effectively.