Isolated primary chylopericardium: a case report
Pongprot, Y.; Silvilairat, S.; Cheuratanapong, S.; Woragidpoonpol, S.; Sittiwangkul, R.; Phornphutkul, C.
Journal of the Medical Association of Thailand 86(4): 361-364
2003
ISSN/ISBN: 0125-2208 PMID: 12757082 Document Number: 9235
Isolated primary chylopericardium is a rare entity with an obscure etiology. The authors report a 10-week-old male infant presenting with tachypnea and enlarged cardiac silhouette. Echocardiography revealed a large pericardial effusion. A specific diagnosis of chylopericardium was made by pericardiocentesis and analysis of the fluid. Despite the pericardial tube drainage and medium-chain triglyceride diet, pericardial effusion reaccumulated. Ligation of the thoracic duct with the establishment of a pleuropericardial window was performed through a left thoracotomy. Follow-up echocardiograms have shown no reaccumulation of the pericardial fluid.
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