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European Journal of Cardio-Thoracic Surgery, Vol 12, 319-321, Copyright © 1997 by European Association for Cardio-thoracic Surgery

ARTICLES

Isolated primary chylopericardium

M Yuksel, B Yildizeli, F Zonuzi and HF Batirel
Marmara University Hospital, Department of Thoracic Surgery, Istanbul, Turkey.

Isolated primary chylopericardum is known to be a rare clinical entity. A 17-year-old girl was diagnosed as isolated primary chylopericardium. She was unresponsive to conservative treatment with pericardial tube drainage and medium chain triglyceride diet. At 2 weeks after the conservative treatment, ligation and resection of the thoracic duct with establishment of a pericardial window through a left thoracotomy was performed. At 6 months, follow-up showed no accumulation of the pericardial fluid. This case also supports that ligation and resection of the thoracic duct with establishment of a pericardial window is the treatment of choice in isolated primary chylopericardium.


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