Chylothorax following coronary bypass grafting: treatment by talc pleurodesis.
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.
Abid
Qamar
Q
Department of Cardiothoracic Surgery, Victoria Hospital, Blackpool, United Kingdom. qumarabid@hotmail.com
Millner
Russel W
RW
D002916:Chylothorax / Q000209:etiology / Q000628:therapy*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D018752:Diet, Fat-Restricted / Q000379:methods; D006801:Humans; D007509:Irritants / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D018700:Pleurodesis / Q000379:methods*; D013627:Talc / Q000008:administration & dosage*; D016896:Treatment Outcome
D007509:Irritants; D013627:Talc