Isolated primary chylopericardium: a case report.
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Date
2003-04-22
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Abstract
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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Chotmaihet Thangphaet.
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Citation
Pongprot Y, Silvilairat S, Cheuratanapong S, Woragidpoonpol S, Sittiwangkul R, Phornphutkul C. Isolated primary chylopericardium: a case report. Journal of the Medical Association of Thailand. 2003 Apr; 86(4): 361-4