VATS thoracic duct clipping in post-CABG with chylothorax.

Indian J Thorac Cardiovasc Surg

Department of Anesthesiology, Dr. D.Y.Patil Medical College, Hospital and Research Center, Dr D Y Patil Vidyapeeth, Pune, 411018 Maharashtra India.

Published: July 2024

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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11194243PMC
http://dx.doi.org/10.1007/s12055-023-01683-5DOI Listing

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