<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2078-7170</journal-id>
<journal-title><![CDATA[CorSalud]]></journal-title>
<abbrev-journal-title><![CDATA[CorSalud]]></abbrev-journal-title>
<issn>2078-7170</issn>
<publisher>
<publisher-name><![CDATA[Cardiocentro Ernesto Che Guevara]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2078-71702019000300258</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Acumulación quilosa en el espacio mediastínico después de una revascularización miocárdica quirúrgica]]></article-title>
<article-title xml:lang="en"><![CDATA[Chylous accumulation in the mediastinal space following coronary artery bypass graft surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Erkut]]></surname>
<given-names><![CDATA[Bilgehan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ates]]></surname>
<given-names><![CDATA[Azman]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Atatürk University Medical Faculty Servicio de Cirugía Cardiovascular ]]></institution>
<addr-line><![CDATA[Erzurum ]]></addr-line>
<country>Turkey</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>11</volume>
<numero>3</numero>
<fpage>258</fpage>
<lpage>262</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2078-71702019000300258&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2078-71702019000300258&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2078-71702019000300258&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El quilomediastino como complicación de la cirugía cardiovascular tiene una incidencia de menos del 0,5% y es extremadamente raro después de los procedimientos intrapericárdicos. El origen de esta complicación es una lesión directa en los vasos linfáticos del mediastino anterior, en el área del timo o el conducto torácico, en la unión de las venas yugular izquierda y subclavia, que obstruye el drenaje del conducto torácico. En principio se prefiere el tratamiento conservador con suspensión de la vía oral y la administración parenteral de una dieta baja en grasas y triglicéridos de cadena media. Si el drenaje persiste después de 2 semanas de tratamiento conservador, debe considerarse la ligadura quirúrgica del ductus torácico como tratamiento de esta complicación. Se presenta un caso de un hombre que presentó acumulación mediastínica de líquido quiloso, tras una reintervención por sangrado en el segundo día del postoperatorio de una revascularización miocárdica quirúrgica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Chylomediastinum as a complication of cardiovascular surgery has a reported incidence of lower than 0,5% and is extremely rare following intrapericardial procedures. The origin of this complication is a direct injury to the anterior mediastinum lymphatics in the thymus area or the thoracic duct, at the junction of the left jugular and subclavian veins, obstructing thoracic duct drainage. Firstly, conservative treatment with low fat and medium chain triglyceride diet is prefered by cutting oral feding. If the drainage persists despite 2 weeks of conservative treatment, the surgical ligation of the ductus thoracicus may be considered for the management of this complication. We present the mediastinal chylous fluid accumulation in a male patient who underwent revision due to bleeding on postoperative second day after coronary artery bypass surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Quilomediastino]]></kwd>
<kwd lng="es"><![CDATA[Revascularización miocárdica quirúrgica]]></kwd>
<kwd lng="es"><![CDATA[Nutrición parenteral]]></kwd>
<kwd lng="es"><![CDATA[Cirugía cardíaca]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones]]></kwd>
<kwd lng="en"><![CDATA[Chylomediastinum]]></kwd>
<kwd lng="en"><![CDATA[Coronary artery bypass grafting]]></kwd>
<kwd lng="en"><![CDATA[Parenteral nutrition]]></kwd>
<kwd lng="en"><![CDATA[Cardiac surgery]]></kwd>
<kwd lng="en"><![CDATA[Complications]]></kwd>
</kwd-group>
</article-meta>
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