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Chylothorax Following Cardiac Surgery Caused by Unusual Lymphatic Anatomy

Bristol Heart Institute
¹ Thoracic Surgery, Bristol Royal Infirmary, Bristol, United Kingdom

For reprint information contact: Massimo Caputo, MD, Tel: 44 117 928 3145, Fax: 44 117 929 9737, Email: massimocaputo{at}hotmail.com, Bristol Heart Institute, Bristol Royal Infirmary, Bristol BS2 8HW, United Kingdom.

Chylothorax due to injury to the thoracic duct and lymphatic channels during left internal thoracic artery harvest is well described. However, high volume leakage of chyle due to disruption of aberrant thymic collateral lymphatic channel in the anterior mediastinum has not been described previously. We describe such a case which was managed by early surgical exploration, ligation of the aberrant duct, and insertion of a pleuro-peritoneal shunt.