Isolated primary chylopericardium: A case report

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 pericardio...

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Bibliographic Details
Main Authors: Pongprot Y., Cheuratanapong S., Sittiwangkul R., Silvilairat S., Woragidpoonpol S., Phornphutkul C.
Format: Article
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-0038123182&partnerID=40&md5=ccf30a435239892fd80e2b59398879de
http://www.ncbi.nlm.nih.gov/pubmed/12757082
http://cmuir.cmu.ac.th/handle/6653943832/3327
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Institution: Chiang Mai University
Language: English
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Summary: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.