Department of General Surgery, University of California Riverside School of Medicine, Riverside, California.
Department of Cardiothoracic Surgery, St Bernardine Medical Center, San Bernardino, California.
Ann Thorac Surg. 2021 Nov;112(5):e349-e352. doi: 10.1016/j.athoracsur.2021.02.057. Epub 2021 Mar 6.
Chylothorax after coronary artery bypass grafting is a rare complication. The treatment protocol is not well described because of its rarity. The current treatment options for chylothorax include conservative medical treatment or an interventional approach (ie, thoracic duct embolization or surgical ligation of the thoracic duct). With high chest tube output, medical treatment has a high failure rate, and early embolization or surgical ligation of the thoracic duct should be considered to reduce hospital stay cost and morbidity. This report presents 2 cases of chylothorax after coronary artery bypass grafting with different treatment approaches.
冠状动脉旁路移植术后乳糜胸是一种罕见的并发症。由于其罕见性,治疗方案描述得并不完善。目前乳糜胸的治疗选择包括保守的药物治疗或介入治疗(即胸导管栓塞或胸导管结扎术)。对于高胸腔引流管输出量的患者,药物治疗的失败率较高,应考虑早期栓塞或胸导管结扎术,以降低住院费用和发病率。本报告介绍了 2 例冠状动脉旁路移植术后乳糜胸的不同治疗方法。