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Conservative Management of Chylothorax after Coronary Artery Bypass Grafting
- Source :
- Texas Heart Institute Journal. 42:148-151
- Publication Year :
- 2015
- Publisher :
- Texas Heart Institute Journal, 2015.
-
Abstract
- Chylothorax is a rare sequela to cardiac surgery, associated with high rates of morbidity and mortality. There are various medical and surgical options for its management. We describe 2 cases of chylothorax that developed after coronary artery bypass grafting and were managed successfully with medical therapy alone. Conservative treatment such as we describe aims to reduce chyle flow, to drain the pleural cavity in an effective manner, and to prevent chronic sequelae. Optimal conservative treatment, consisting of nothing by mouth and the administration of a pleurodetic agent, should be started immediately upon diagnosis. In most cases, it reduces the need for reoperation and long-term hospitalization. Prospective randomized controlled trials are nonetheless needed to confirm these assumptions.
- Subjects :
- Male
Nothing by mouth
medicine.medical_specialty
Chyle
medicine.medical_treatment
Case Reports
Chylothorax
law.invention
Randomized controlled trial
law
Humans
Medicine
Saphenous Vein
Internal Mammary-Coronary Artery Anastomosis
Postoperative Care
business.industry
General surgery
Sequela
Length of Stay
Middle Aged
Pleural cavity
medicine.disease
Surgery
Cardiac surgery
medicine.anatomical_structure
Cardiology and Cardiovascular Medicine
business
Pleurodesis
Subjects
Details
- ISSN :
- 15266702 and 07302347
- Volume :
- 42
- Database :
- OpenAIRE
- Journal :
- Texas Heart Institute Journal
- Accession number :
- edsair.doi.dedup.....d59bbf515e64f3151426dacf50513eec