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CASE REPORT
Year : 2018  |  Volume : 4  |  Issue : 3  |  Page : 152-154

Intractable Chylothorax Following Mitral Valve Replacement in an Adult


Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi University, New Delhi, India

Correspondence Address:
Dr. Arindam Roy
Room No. 04, New Resident Doctors Hostel (NRDH), New Delhi 110002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mamcjms.mamcjms_46_18

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Chylothorax after an open-heart surgery has previously been mentioned in the literature. We report this association in a young female post-mitral valve replacement surgery due to abnormal lymphatic channels. Medical management was conducted for 4 weeks. On failure of the conservative treatment, she underwent pleurectomy with suture ligation of the thymic gland remnants and pericardium for the chylothorax, which resolved following the redo surgery. This rare incidental variation in lymphatic drainage was responsible for refractory chylothorax, which otherwise could have been managed medically.


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