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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.






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