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Shilenko P.A.

Federal Center of High Medical Technologies, Kaliningrad, Russia

Tsoi M.D.

Federal Center of High Medical Technologies, Kaliningrad, Russia

Pavlov A.A.

Detskaia gorodskaia klinicheskaia bol'nitsa #13 im. N.F. Filatova, Moskva

Fomenko M.S.

Federal Center for High Medical Technologies of Ministry of Health of the Russia, Kaliningrad, Russia

Osmerkina M.N.

Federal Center for High Medical Technologies of Ministry of Health of the Russia, Kaliningrad, Russia

Kotov S.N.

Federal Center for High Medical Technologies of Healthcare Ministry of the Russia, Kaliningrad, Russia

Schneider Yu.A.

Federal Center for Cardiovascular Surgery, Health Ministry of Russia, Kaliningrad

Thoracoscopic treatment of chylothorax after coronary artery bypass grafting

Authors:

Shilenko P.A., Tsoi M.D., Pavlov A.A., Fomenko M.S., Osmerkina M.N., Kotov S.N., Schneider Yu.A.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2019;12(2): 164‑167

DOI: 10.17116/kardio201912021164

Views: 1780

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Table of contents

THORACOSCOPIC TREATMENT OF CHYLOTHORAX AFTER CORONARY ARTERY BYPASS GRAFTING
THORACOSCOPIC TREATMENT OF CHYLOTHORAX AFTER CORONARY ARTERY BYPASS GRAFTING

To cite this article:

Shilenko PA, Tsoi MD, Pavlov AA, Fomenko MS, Osmerkina MN, Kotov SN, Schneider YuA. Thoracoscopic treatment of chylothorax after coronary artery bypass grafting. Russian Journal of Cardiology and Cardiovascular Surgery. 2019;12(2):164‑167. (In Russ.)
https://doi.org/10.17116/kardio201912021164

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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Chylothorax is a rare but serious complication after coronary artery bypass grafting (CABG). As a rule, it is a result of thoracic duct injury during internal thoracic artery harvesting. It is presented case report of 65-year-old man with large chylous pleural effusion diagnosed in 3 days after CABG. Biochemical analysis confirmed diagnosis of chylothorax. Considering ineffective medication and total parenteral nutrition, surgical repair was performed via thoracoscopic access. This rare complication is possible because of high degree of anatomic variability of the thoracic duct system.

Keywords:

chylothorax
thoracoscopy

Authors:

Shilenko P.A.

Federal Center of High Medical Technologies, Kaliningrad, Russia

Tsoi M.D.

Federal Center of High Medical Technologies, Kaliningrad, Russia

Pavlov A.A.

Detskaia gorodskaia klinicheskaia bol'nitsa #13 im. N.F. Filatova, Moskva

Fomenko M.S.

Federal Center for High Medical Technologies of Ministry of Health of the Russia, Kaliningrad, Russia

Osmerkina M.N.

Federal Center for High Medical Technologies of Ministry of Health of the Russia, Kaliningrad, Russia

Kotov S.N.

Federal Center for High Medical Technologies of Healthcare Ministry of the Russia, Kaliningrad, Russia

Schneider Yu.A.

Federal Center for Cardiovascular Surgery, Health Ministry of Russia, Kaliningrad

List of references:

  1. Belov YuV, Milanov NO, Stepanenko AB, Gasanov AF. Khirurgiya. (Mosk). 2012;10. (In Russ.)
  2. Bazarov DV, Grigorchuk AYu, Vyzhigina MA, Akselrod BA, Eremenko AA, Nikoda VV, Boranov EV, Kavochkin AA. Thoracoscopic repair of postoperative intrapleural complications. Pirogov Russian Journal of Surgery = Khirurgiya. Zhurnal im. N.I. Pirogova. 2018;(2):28-38. https://doi.org/10.17116/hirurgia2018228-38
  3. Choong CK, Martinez C, Barner HB. Chylothorax After Internal Thoracic Artery Harvest. The Annals of thoracic surgery. 81(Issue 4):1507-1509. https://doi.org/10.1016/j.athoracsur.2005.02.045
  4. McWilliams A, Gabbay E. Chylothorax occurring 23 years postirradiation: literature review and management strategies. Respirology. 2000;5:301-303.
  5. Mery CM, Moffett BS, Khan MS, Zhang W, Guzman-Pruneda FA, Fraser CDJr, Cabrera AG. Incidence and treatment of chylothorax after cardiac surgery in children: Analysis of a large multi-institution database. The Journal of Thoracic and Cardiovascular Surgery. c 2014 February. https://doi.org/10.1016/j.jtcvs.2013.09.068
  6. Abid Q, Millner RW. Chylothorax following coronary bypass grafting: treatment by talc pleurodesis. Asian Cardiovasc Thorac Ann. 2003;11:355-356.
  7. Barbetakis N, Xenikakis T, Efstathiou A, Fessatidis I. Successful octreotide treatment of chylothorax following coronary artery bypass grafting procedure. A case report and review of the literature. Hellenic J Cardiol. 2006;47:118-122.
  8. Xu RB, Crouch G, Jurisevic C, Stuklis RC. Adelaide, Australia Right video-assisted thoracoscopy thoracic duct ligation as treatment for a case of chyloptysis. The Journal of Thoracic and Cardiovascular Surgery. 2013 June. https://doi.org/10.1016/j.jtcvs.2013.02.029
  9. Paulo Manuel Pego-Fernandes, Mauro Boldrini Nascimbem, Otávio T. Ranzani, Mônica Satsuki Shimoda, Rosângela Monteiro, Fábio Biscegli Jatene. Video-assisted thoracoscopy as an option in the surgical treatment of chylothorax after cardiac surgery in children. Jornal Brasileiro de Pneumologia. https://doi.org/10.1590/S1806-37132011000100006

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