title: Successful octreotide treatment of chylothorax following coronary artery bypass grafting procedure. A case report and review of the literature.
abstract: Chylothorax occurs in 0.25 to 0.50% of cardiac operations performed through thoracotomy incisions and is more unusual after median sternotomy. A case of chylothorax following coronary artery bypass grafting is presented. Combined treatment with pleural drainage, "nothing per os", total parenteral nutrition and subcutaneous injection of somatostatin was effective and led to rapid cessation of chyle production.
authors.affiliation: Cardiothoracic Surgery Department, Geniki Kliniki, Thessaloniki, Greece. nibarb@otenet.gr
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Barbetakis
authors.forename: Theocharis
authors.initials: T
authors.lastname: Xenikakis
authors.forename: Andreas
authors.initials: A
authors.lastname: Efstathiou
authors.forename: Ioannis
authors.initials: I
authors.lastname: Fessatidis
mesh_terms: D000368:Aged; D018931:Antineoplastic Agents, Hormonal / Q000008:administration & dosage / Q000627:therapeutic use*; D002916:Chylothorax / Q000188:drug therapy* / Q000209:etiology / Q000601:surgery; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D004322:Drainage; D005500:Follow-Up Studies; D006801:Humans; D007279:Injections, Subcutaneous; D008297:Male; D015282:Octreotide / Q000008:administration & dosage / Q000627:therapeutic use*; D011183:Postoperative Complications
chemical_list: D018931:Antineoplastic Agents, Hormonal; D015282:Octreotide