Hemant Digambar Waikar1, Peter Kamalaneson2, Mohamad Saleh Mohamad Zamri2, Aylliath Gosalakkal Jayakrishnan2
1 Department of Cardiothoracic Anaesthesia, Nawaloka Hospitals, Colombo, Sri Lanka
2 Department of Cardiothoracic Surgery, Nawaloka Hospitals (Pvt) Ltd., Colombo, Sri Lanka
Chylothorax is a rare complication after cardiac surgery but is associated with morbidity and mortality. The most common cause of chylothorax is damage to or avulsion of thoracic duct by electrocautery during left internal thoracic artery harvesting for coronary artery bypass graft (CABG) surgery. We describe a case of chylothorax after off-pump CABG, which was successfully treated with thoracostomy tube drainage, withholding of oral intake, total parenteral nutrition and subcutaneous octreotide, a somatostatin analog, and chemical pleurodesis.
Hemant Digambar Waikar
Nawaloka Hospitals, Colombo
Source of Support: None, Conflict of Interest: None
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