Isolated Chylopericardium: An Unusual Cause of Late Cardiac Tamponade After Mitral Valve Repair
Autor: | Alicia X.F. Chia, Philip Y.K. Pang |
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Rok vydání: | 2020 |
Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Chyle medicine.medical_treatment Octreotide 030204 cardiovascular system & hematology Pericardial Effusion 03 medical and health sciences Postoperative Complications 0302 clinical medicine Cardiac tamponade medicine Humans Cardiac Surgical Procedures Aged Mitral valve repair business.industry Mitral Valve Insufficiency medicine.disease Cardiac Tamponade Cardiac surgery Surgery 030228 respiratory system Median sternotomy Pericardiocentesis cardiovascular system Chylopericardium Cardiology and Cardiovascular Medicine business medicine.drug |
Zdroj: | The Annals of Thoracic Surgery. 110:e497-e500 |
ISSN: | 0003-4975 |
DOI: | 10.1016/j.athoracsur.2020.04.030 |
Popis: | Isolated chylopericardium after cardiac surgery is extremely rare, but potentially fatal. We present an unusual case of late postoperative chylopericardium causing cardiac tamponade 6 weeks after mitral valve repair, tricuspid annuloplasty, and left atrial appendage closure through median sternotomy. Emergent pericardiocentesis was performed. Microscopic analysis confirmed the chyle. The patient was successfully managed conservatively with oral dietary manipulation and intravenous octreotide. |
Databáze: | OpenAIRE |
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