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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pleural Effusion Post CABG, Why Is This Fluid Getting Accumulated Again And Again ?

Hi, My father (Age 58 years) went through a CABG X 2 on november 2010. When he came for his first checkup in jan 2011, x-ray report showed fluid accumulated in his lungs and hence went though pleural effussions. Yesterday was his second checkup and again some amount of fluid is accumulated. This time he is not admitted but has been asked to take lasix (he is taking it since cabg). Why is this fluid getting accumulated again and again. He is not taking more than 1 litre of fluids but again the problem is recurring.
Wed, 9 Mar 2011
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Radiologist 's  Response
Hi srihari!
Pleural effusions following coronary artery bypass grafting (CABG) have been reported in 65%–89% of the cases. The majority of pleural effusions are left-sided, of little significance, and resolve spontaneously. Most of these effusions develop as a consequence of the surgical procedure itself ("nonspecific pleural effusions") and follow a generally benign course.worrisome effusions are -large to moderate in size, associated with breathlesness, and or blood spitting(hemoptysis).Intake of fluid has no role in development of pleural effusion.
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srihari.sastry's  Response
Why is this fluid getting accumulated again and again. I think fluid accumulation is in the right side. Is it normal if fluid retention is recurring. Is there a way if the fluid can be removed so that we can avoid draining. He walks 3-4 kms every day and climbs 35 stairs daily. He rarely feels breathlessness (only for less than a minute once in a fortnight) and has no heart pain. His fasting blood sugar is 92, BP is 130/90 and Pulse rate is 62. Lipid test result and cholestral are within normal range. His EF during first checkup was 25-30%
Ayurveda Specialist Dr. Rajesh Lakhanpaul's  Response
Lasix increases the urine output and the fluid that is accumulated in lungs is forced to push out from lungs and come in circulation but it is not curing the cause from where the fluid is coming. many times the cause can not be pin pointed just said non specific due to surgery, but it happens so. amongst herbal medicines we use gokshur guggul for same purpose.
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  User's Response
Dr Michael K Ihara's  Response
Just posted some videos on reducing risk
of heart surgery complications from triple bypass, CABG, Carotid Artery Endarterectomy, at

http://goo.gl/VrfoD

and

http://goo.gl/jZJN3

Feel free to email me at lifevantage.com/8aloha
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Pleural Effusion Post CABG, Why Is This Fluid Getting Accumulated Again And Again ?

Hi srihari! Pleural effusions following coronary artery bypass grafting (CABG) have been reported in 65%–89% of the cases. The majority of pleural effusions are left-sided, of little significance, and resolve spontaneously. Most of these effusions develop as a consequence of the surgical procedure itself ( nonspecific pleural effusions ) and follow a generally benign course.worrisome effusions are -large to moderate in size, associated with breathlesness, and or blood spitting(hemoptysis).Intake of fluid has no role in development of pleural effusion.