We report the case of a 73-year-old woman who developed a left chylothorax subsequent to surgical myocardial revascularization using the left internal mammary artery. This complication was successfully managed with thoracostomy tube drainage, chemical pleurodesis, and dietary manipulation. We review the literature regarding chylothorax after coronary artery bypass surgery and discuss the etiology and management of this rare complication.
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References
1.
WeberDODelMastro PYarnozMD. Chylothorax after myocardial re-vascularization with internal mammary graft. Ann Thorac Surg1981;32: 499–502.
2.
ZakhourBJDeuckerMHFrancoAA. Chylothorax as a complication of aorta coronary bypass. Scand J Thorac Cardiovasc Surg1988;22: 93–5.
3.
KshettryVRRebellorR. Chylothorax after coronary artery bypass grafting (Letter). Thorax1982;37: 954.
4.
Di LelloFWernerPHKleinmanLHMullenDCFlemmaRJ. Life-threatening chylothorax after left internal mammary dissection: Therapeutic considerations. Ann Thorac Surg1987;44: 660–1.
5.
CzarneckiDJKehoeMETectorAJ. Lymphangiographic evaluation of chylotherox after myocardial revascularization (Letter). AJR1988;151: 1255.
6.
ChaiyaroSMullerworthMHTatoulisJ. Surgery in the management of chylothorax after coronary artery bypass with left internal mammary artery. J Thorac Cardiovasc Surg1993;106: 754–6.
