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Table of Contents
LETTERS TO EDITOR  
Year : 2018  |  Volume : 21  |  Issue : 4  |  Page : 468
Surgical technique and chylothorax following coronary artery bypass grafting


Department of Thoracic Surgery, Theagenio Hospital, Thessaloniki, Greece

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Date of Web Publication17-Oct-2018
 

How to cite this article:
Lazopoulos A, Paliouras D, Barbetakis N. Surgical technique and chylothorax following coronary artery bypass grafting. Ann Card Anaesth 2018;21:468

How to cite this URL:
Lazopoulos A, Paliouras D, Barbetakis N. Surgical technique and chylothorax following coronary artery bypass grafting. Ann Card Anaesth [serial online] 2018 [cited 2018 Dec 17];21:468. Available from: http://www.annals.in/text.asp?2018/21/4/468/243524




The Editor,

We have read with great interest the article by Waikar et al.[1] and we have to congratulate them for their successful result. The aim of our brief comment is to highlight the key points for the prevention and treatment of this complication.

According to our experience, we suggest that the surgeon should maximize the left internal mammary artery conduit's length at the proximal end of the pedicle.[2] Damage to lymphatic channels during LIMA harvesting by electrocautery as already stated by the authors is the main destructive mechanism. Another probable cause is the division of the thymus gland and damage to the thymic lymphatic channels by electrocautery, in cases like aortic or mitral valve replacement when LIMA is not involved. Conservative treatment should start immediately upon diagnosis and almost always eliminates the need for surgical intervention.[3]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Waikar HD, Kamalaneson P, Mohamad Zamri MS, Jayakrishnan AG. Chylothorax after off-pump coronary artery bypass graft surgery: Management strategy. Ann Card Anaesth 2018;21:300-3.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Altun G, Pulathan Z, Kutanis D, Hemsinli D, Erturk E, Civelek A, et al. Conservative management of chylothorax after coronary artery bypass grafting. Tex Heart Inst J 2015;42:148-51.  Back to cited text no. 2
    
3.
Barbetakis N, Xenikakis T, Efstathiou A, Fessatidis I. Successful octreotide treatment of chylothorax following coronary artery bypass grafting procedure. A case report and review of the literature. Hellenic J Cardiol 2006;47:118-22.  Back to cited text no. 3
    

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Correspondence Address:
Achilleas Lazopoulos
Department of Thoracic Surgery, Theagenio Hospital, Thessaloniki 54007
Greece
Nikolaos Barbetakis
Department of Thoracic Surgery, Theagenio Hospital, Thessaloniki 54007
Greece
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_162_18

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