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Ann Thorac Surg 2009;88:e53-e55. doi:10.1016/j.athoracsur.2009.07.083
© 2009 The Society of Thoracic Surgeons

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Nnamdi Nwaejike
Wail O. El-Amin
James Kuo
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Case Reports

Cardiac Tamponade: Chylopericardium Presenting 2 Weeks After Mechanical Aortic Valve Replacement Through a Median Sternotomy

Nnamdi Nwaejike, MRCS*, Wail O. El-Amin, FRCS, James Kuo, FRCS

South West Cardiothoracic Centre, Derriford Hospital, Plymouth, United Kingdom

Accepted for publication July 21, 2009.

* Address correspondence to Dr Nwaejike, South West Cardiothoracic Centre, Derriford Hospital, Plymouth, PL6 8DH, United Kingdom (Email: justnnamdi{at}aol.com).

Chylopericardium is a rare disorder that can be secondary to thoracic duct injury. Consequences include nutritional, metabolic, and immunologic abnormalities, as well as cardiac complications, such as pericarditis and cardiac tamponade. We present a case of chylopericardium presenting as cardiac tamponade after a median sternotomy for mechanical aortic valve replacement.




This article has been cited by other articles:


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Ann. Thorac. Surg.Home page
N. Nwaejike, W. El-Amin, and J. Kuo
Reply.
Ann. Thorac. Surg., July 1, 2010; 90(1): 361 - 362.
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Ann. Thorac. Surg.Home page
B. C. Karabay, M. Ugurlucan, S. Ziyade, and O. Isik
Is the Thoracic Duct Injury the Cause of Chylopericardium After Cardiac Surgery Performed Through Median Sternotomy?
Ann. Thorac. Surg., July 1, 2010; 90(1): 360 - 361.
[Full Text] [PDF]




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