Abstract
Post-coronary artery bypass graft (CABG) surgery, chylothorax is a rare, but a serious, complication. We report a case of 49-year-old female who underwent CABG, and developed pleural effusion on post-operative day 2 which was milky in nature. Chylothorax was confirmed based on the biochemical analysis of the pleural fluid. As the medical line of management failed, video-assisted thoracoscopic surgery (VATS) was done and thoracic duct clipped on the right side. Close to the proximal portion of the left internal thoracic artery, disrupted tributaries of thoracic duct were noted and clipped. Rarity of the case and management is highlighted.
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SG and SN analyzed and interpreted the patient data and were major contributors in writing this article. SG and AG were the chief operating surgeons in this case. VS was the chief anesthestist while operating; TN helped with review of literature. All authors read and approved the final manuscript.
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Gupta, S., Garg, A., Nanjappa, S. et al. VATS thoracic duct clip** in post-CABG with chylothorax. Indian J Thorac Cardiovasc Surg 40, 489–492 (2024). https://doi.org/10.1007/s12055-023-01683-5
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DOI: https://doi.org/10.1007/s12055-023-01683-5