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Table 34.2 Quantification of size of pleural effusions after
post-coronary artery bypass graft surgery
Grade of effusion Characteristic of chest radiograph

0 No pleural fluid
Blunting of costophrenic angle
2 More than blunting of costophrenic
angle but less than 25% of
hemithorax occupied by pleural fluid
3 Pleural fluid occupying 25-50% of
hemithorax
4 Pleural fluid occupying 50-75% of
hemithorax
5 Pleural fluid occupying more than
75% of hemithorax
Table 34.1 Causes of pleural effusion after different types of
surgery
Causes

Trauma caused by surgery


Atelectasis
Pancreatitis
Pulmonary embolism
Subphrenic abscess (late >10 days)
Congestive heart failure
Pneumonia
Central line erosion through central venous structures
Chylothorax due to thoracic duct disruption
Hemothorax due to bleeding
Immunological mechanisms

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