Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Indian Journal of Thoracic and Cardiovascular Surgery

30-01-2024 | CABG | Case report

VATS thoracic duct clipping in post-CABG with chylothorax

Authors: Samir Gupta, Anurag Garg, Santhosh Nanjappa, Tejus Vishwanath Nagireddy, Vipul Sharma

Published in: Indian Journal of Thoracic and Cardiovascular Surgery

Login to get access

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.
Literature
1.
Miao L, Zhang Y, Hu H, Ma L, Shun Y, Xiang J, et al. Incidence and management of chylothorax after esophagectomy. Thorac Cancer. 2015;6:354–8.
2.
Akbari AP, Navabi SMA, Soleimani A, Razzaz M, Akbari AN, Rayatzadeh H, et al. Incidence and etiology of chylothorax after congenital heart surgery in children. J Tehran Heart Cent. 2014;9:59–63.
3.
Khan I, Khan ZM, Refy AE, Badry AME, Babiker TF. Chylothorax after coronary artery bypass surgery. Report of a case and review of the literature. J Saudi Heart Assoc. 2020;32:194–199.
4.
El-Farra MH, Pham N, Smith J, Kajitani M, Hasaniya N. Treatment of chylothorax after coronary artery bypass grafting. Ann Thorac Surg. 2021;112:e349–52.CrossRefPubMed
5.
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.CrossRefPubMedPubMedCentral
6.
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.
7.
Nair SK, Petko M, Hayward MP. Aetiology and management of chylothorax in adults. Eur J Cardiothorac Surg. 2007;32:362–9.CrossRefPubMed
8.
Arshava EV, Parekh KR. Thoracoscopic thoracic duct ligation: how i teach it. Ann Thorac Surg. 2020;109:1330–4.CrossRefPubMed
9.
10.
Paul S, Altorki NK, Port JL, Stiles BM, Lee PC. Surgical management of chylothorax. Thorac Cardiovasc Surg. 2009;57:226–8.CrossRefPubMed
Metadata
Title
VATS thoracic duct clipping in post-CABG with chylothorax
Authors
Samir Gupta
Anurag Garg
Santhosh Nanjappa
Tejus Vishwanath Nagireddy
Vipul Sharma
Publication date
30-01-2024
Publisher
Springer Nature Singapore
Keywords
CABG
CABG
Published in
Indian Journal of Thoracic and Cardiovascular Surgery
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-023-01683-5