title: Isolated primary chylopericardium.
abstract: 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.
authors.affiliation: Marmara University Hospital, Department of Thoracic Surgery, Istanbul, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Yüksel
authors.forename: B
authors.initials: B
authors.lastname: Yildizeli
authors.forename: F
authors.initials: F
authors.lastname: Zonüzi
authors.forename: H F
authors.initials: HF
authors.lastname: Batirel
mesh_terms: D000293:Adolescent; D002916:Chylothorax / Q000000981:diagnostic imaging / Q000601:surgery*; D003937:Diagnosis, Differential; D018572:Disease-Free Survival; D004452:Echocardiography; D005260:Female; D006801:Humans; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000601:surgery*; D010491:Pericardial Window Techniques; D013908:Thoracotomy