09 May 2026
: Case report 
Uncommon Presentation of Substernal Chylothorax Following Coronary Artery Bypass Grafting Without LIMA Harvest: An Atypical Case
Unusual clinical course, Challenging differential diagnosis
Yan Efrata Sembiring ABCDEFG 1*, Fan Maitri Aldian
ABCDEF 2, Jeswant Dillon BCDEF 3,4
DOI: 10.12659/AJCR.952237
Am J Case Rep 2026; 27:e952237
Figure 3 Recommended algorithm for diagnosing and treating post-cardiac surgery chylothorax. CRP – C-reactive protein; ESR – erythrocyte sedimentation rate; ICD – intercostal drainage; MFCA – medium-chain fatty acids; PPS – pleuro-peritoneal shunt; PVS – pleuro-venous shunt; RATS – robotic-assisted thoracic surgery; TDE – thoracic duct embolization; TDL – thoracic duct ligation; TG – triglyceride; TPN – total parenteral nutrition; VATS – video-assisted thoracoscopic surgery; WBC – white blood count.