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Chylothorax and re-expansion pulmonary edema following myocardial re-vascularization: role of lymph vessel insufficiency

^a Departments of Thoracic Surgery and Anesthesiology, Georges Pompidou European hospital, 20 rue Leblanc, 75908 Paris cedex 15, France
^b Department of Cardiothoracic Surgery, La Pitié Salpétrière Hospital, Paris, France

^* Corresponding author. Tel.: +33-1-56-09-34-50; fax: +33-1-56-09-33-80
marc.riquet{at}hop.egp.ap-hop-paris.fr

Chylothorax is a rare complication following coronary artery bypass graft surgery. In the following case, we report a chylothorax complicating left internal mammary artery harvesting due to injury of the left anterior mediastinal lymph node chain (LAMLNC) at the level of the proximal pedicle of the mammary artery. Re-expansion pulmonary edema occurred during re-operation for chylothorax following suturing of this lymph node chain. This observation demonstrates the role of the LAMLNC in both complications when injured or interrupted.

Key Words: Cardiac surgery; Left internal mammary artery; Re-expansion pulmonary edema; Chylothorax

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				C. K. Choong, C. Martinez, and H. B. Barner Chylothorax After Internal Thoracic Artery Harvest Ann. Thorac. Surg., April 1, 2006; 81(4): 1507 - 1509. [Abstract] [Full Text] [PDF]