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European Journal of Cardio-Thoracic Surgery, Vol 7, 555-556, Copyright © 1993 by European Association for Cardio-thoracic Surgery

ARTICLES

Chylothorax as a complication of harvesting the left internal thoracic artery in coronary artery bypass surgery

AJ Bogers, WH Pardijs, LA Van Herwerden and E Bos
Department of Thoracic Surgery, Dijkzigt University Hospital, Rotterdam, The Netherlands.

A patient is described with chylothorax after harvesting the left internal thoracic artery for coronary artery bypass surgery. Conservative treatment with a medium chain triglycerides diet and tube thoracostomy was not only unsuccessful, but also resulted in the complications of malnutrition and empyema. We recommend early surgical treatment of chylothorax after coronary bypass surgery with the use of an internal thoracic artery.

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