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Ann Thorac Surg 1982;34:333-336
© 1982 The Society of Thoracic Surgeons

Articles

Cardiac Tamponade Secondary to Chylopericardium Following Cardiac Surgery: Case Report and Review of the Literature

Daniel M. Rose, M.D., Stephen B. Colvin, M.D.*, Delores Danilowicz, M.D., O.W. Isom, M.D.

From the Department of Surgery and Pediatrics, New York University School of Medicine, New York, NY

Accepted for publication August 24, 1981.

* Address reprint requests to Dr. Colvin, New York University School of Medicine, 530 First Ave, Suite 6D, New York, NY 10016

Only four instances of isolated chylopericardium following cardiac operation have been reported previously. We encountered this complication in a young patient who was operated on for infundibular pulmonary stenosis. The etiology appears to be related to a combination of intraoperative lymphatic injury and catheter-related subclavian vein thrombosis, the latter potentially elevating pressure within the thoracic duct and thereby resulting in an accumulation of chyle within the pericardial space. Therapy for this problem usually includes partial pericardiectomy with or without ligation of the thoracic duct.




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