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Chylothorax: An unusual complication following coronary artery bypass grafting using the left internal mammary artery
Affiliation:1. CHU Poitiers, Service de Cardiologie, 2 rue de la Milétrie, 86021 Poitiers, France;2. Center for Interdisciplinary Research in Biology (CIRB), College de France, Centre National de la Recherche Scientifique (CNRS), Institut National de la Santé et de la Recherche Médicale (INSERM), Paris Sciences et Lettres (PSL) Research University, 11, place Marcelin Berthelot, Paris F-75005, France;3. Hôpital Bichat, APHP, Cardiology Department, 46 Rue Henri Huchard, 75877 Paris, Paris Diderot University, DHU Fire, France;4. Hôpital Ambroise-Paré, 9 Avenue Charles de Gaulle, 92100 Boulogne-Billancourt, INSERM U1018, Team 5 Université Paris Sud-Université Versailles Saint Quentin en Yvelines, CESP (Centre for Epidemiology and Population Health EpReC Team, Renal and Cardiovascular Epidemiology), France;5. Hopital Lariboisière, HEGP 2 rue Ambroise-Paré, 75010 Paris, France;6. INSERM U 1148, Paris F-75018, France;7. Signalisation and Cardiovascular Pathophysiology - UMR-S 1180, Univ. Paris-Sud, INSERM, Université Paris-Saclay, 92296, Châtenay-Malabry, France
Abstract:
Development of a massive left-sided chylothorax following coronary artery grafting in a 56-year-old man is presented because of its rarity. Management with chest-tube drainage and dietary restrictions of fat with parenteral nutrition were used to treat the patient. Pleural fluid analysis for chyle in presence of massive pleural effusion was the key to early diagnosis and treatment to prevent increased morbidity and mortality. From 1985 to 1997 at this hospital, this complication occurred in 1 out of 18,978 patients who underwent coronary artery bypass graft surgery; in 6,232 patients, the left internal mammary artery was used.
Keywords:
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