Chylothorax After Cardiac Surgery

In the following article we present a case of postoperative chylothorax as rare and severe complication after cardiac surgery. We present a case of 56-year-old man after double-valve replacement procedure and aorto-coronary artery bypass grafting, including pedicled left internal mammary artery towa...

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Autores principales:	Vazhev Z., Dimitrov K., Stoev H.
Formato:	article
Lenguaje:	EN
Publicado:	Sciendo 2020
Materias:	chylothorax double-valve replacement left internal mammary artery complications Medicine R
Acceso en línea:	https://doaj.org/article/aee05cc8fa3f401da84e1c19e0872de5
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spelling	oai:doaj.org-article:aee05cc8fa3f401da84e1c19e0872de52021-12-02T19:05:13ZChylothorax After Cardiac Surgery0324-175010.2478/amb-2020-0022https://doaj.org/article/aee05cc8fa3f401da84e1c19e0872de52020-07-01T00:00:00Zhttps://doi.org/10.2478/amb-2020-0022https://doaj.org/toc/0324-1750In the following article we present a case of postoperative chylothorax as rare and severe complication after cardiac surgery. We present a case of 56-year-old man after double-valve replacement procedure and aorto-coronary artery bypass grafting, including pedicled left internal mammary artery towards left anterior descending artery. By the tenth postoperative day the total amount of drained milky white fluid from the left pleural cavity reached the colossal volume of 13 040 ml, despite the conservative therapy with intravenous Sandostatin (Octreotide) and parenteral feeding with a solution rich in medium chain triglycerides and amino acids – OliClínomel. The results of the biochemical analysis confirmed the diagnosis chylothorax. On the tenth postoperative day, a revision of the left pleural cavity through left thoracotomy was performed and lesion of the thoracic duct was identified. The lesion was sutured and secured with fibrin tissue glue – Tissucol for definitive treatment of the lymphorrhagia. The combined therapeutic and surgical approach concerning this serious complication turned out to be effective, and the patient was discharged on the thirty-second postoperative day with significant clinical improvement without ultra-sound and x-ray data for left pleural effusion.Vazhev Z.Dimitrov K.Stoev H.Sciendoarticlechylothoraxdouble-valve replacementleft internal mammary arterycomplicationsMedicineRENActa Medica Bulgarica, Vol 47, Iss 2, Pp 38-42 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	chylothorax double-valve replacement left internal mammary artery complications Medicine R
spellingShingle	chylothorax double-valve replacement left internal mammary artery complications Medicine R Vazhev Z. Dimitrov K. Stoev H. Chylothorax After Cardiac Surgery
description	In the following article we present a case of postoperative chylothorax as rare and severe complication after cardiac surgery. We present a case of 56-year-old man after double-valve replacement procedure and aorto-coronary artery bypass grafting, including pedicled left internal mammary artery towards left anterior descending artery. By the tenth postoperative day the total amount of drained milky white fluid from the left pleural cavity reached the colossal volume of 13 040 ml, despite the conservative therapy with intravenous Sandostatin (Octreotide) and parenteral feeding with a solution rich in medium chain triglycerides and amino acids – OliClínomel. The results of the biochemical analysis confirmed the diagnosis chylothorax. On the tenth postoperative day, a revision of the left pleural cavity through left thoracotomy was performed and lesion of the thoracic duct was identified. The lesion was sutured and secured with fibrin tissue glue – Tissucol for definitive treatment of the lymphorrhagia. The combined therapeutic and surgical approach concerning this serious complication turned out to be effective, and the patient was discharged on the thirty-second postoperative day with significant clinical improvement without ultra-sound and x-ray data for left pleural effusion.
format	article
author	Vazhev Z. Dimitrov K. Stoev H.
author_facet	Vazhev Z. Dimitrov K. Stoev H.
author_sort	Vazhev Z.
title	Chylothorax After Cardiac Surgery
title_short	Chylothorax After Cardiac Surgery
title_full	Chylothorax After Cardiac Surgery
title_fullStr	Chylothorax After Cardiac Surgery
title_full_unstemmed	Chylothorax After Cardiac Surgery
title_sort	chylothorax after cardiac surgery
publisher	Sciendo
publishDate	2020
url	https://doaj.org/article/aee05cc8fa3f401da84e1c19e0872de5
work_keys_str_mv	AT vazhevz chylothoraxaftercardiacsurgery AT dimitrovk chylothoraxaftercardiacsurgery AT stoevh chylothoraxaftercardiacsurgery
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Chylothorax After Cardiac Surgery

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