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Chylothorax Following Coronary Bypass Grafting: Treatment by Talc Pleurodesis

Department of Cardiothoracic Surgery, Victoria Hospital, Blackpool, United Kingdom

For reprint information contact: Qamar Abid, FRCS(CTh) Tel: 44 1782 555 005 Fax: 44 1782 555 058 email: qumarabid{at}hotmail.com University Hospital North Stafford, Princess Road, Hartshill, Stoke-on-Trent ST4 7LN, United Kingdom.

Chylothorax after myocardial revascularization is a rare but serious complication. There is as yet no definitive treatment. We report a case in which chylothorax was diagnosed on the 3rd postoperative day. Conservative management with dietary restriction to medium-chain triglyceride led to reduction of chyle leakage from 300 to 400 mL/day to 50 to 60 mL/day 3 days later. However, the leak persisted until talc pleurodesis was performed.

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				O. Falode, I. Hunt, and C. P Young Chylothorax after coronary artery bypass surgery J R Soc Med, July 1, 2005; 98(7): 314 - 315. [Full Text] [PDF]