{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:16:52Z","timestamp":1787840212797,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>Chylothorax is a rare complication after cardiac surgery but is associated with morbidity and mortality. The most common cause of chylothorax is damage to or avulsion of thoracic duct by electrocautery during left internal thoracic artery harvesting for coronary artery bypass graft (CABG) surgery. We describe a case of chylothorax after off-pump CABG, which was successfully treated with thoracostomy tube drainage, withholding of oral intake, total parenteral nutrition and subcutaneous octreotide, a somatostatin analog, and chemical pleurodesis.<\/jats:p>","DOI":"10.4103\/aca.aca_212_17","type":"journal-article","created":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T08:39:12Z","timestamp":1532507952000},"page":"300-303","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Chylothorax after Off-pump Coronary Artery Bypass Graft Surgery: Management Strategy"],"prefix":"10.4103","volume":"21","author":[{"given":"Hemant Digambar","family":"Waikar","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Anaesthesia, Nawaloka Hospitals, Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Kamalaneson","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Nawaloka Hospitals (Pvt) Ltd., Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad Saleh","family":"Mohamad Zamri","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Nawaloka Hospitals (Pvt) Ltd., Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aylliath Gosalakkal","family":"Jayakrishnan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Nawaloka Hospitals (Pvt) Ltd., Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250602","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1016\/S0022-5223(19)40429-7","article-title":"Postoperative chylothorax. 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