title: Isolated primary chylopericardium: a case report.
abstract: Isolated primary chylopericardium is a rare entity with an obscure etiology. The authors report a 10-week-old male infant presenting with tachypnea and enlarged cardiac silhouette. Echocardiography revealed a large pericardial effusion. A specific diagnosis of chylopericardium was made by pericardiocentesis and analysis of the fluid. Despite the pericardial tube drainage and medium-chain triglyceride diet, pericardial effusion reaccumulated. Ligation of the thoracic duct with the establishment of a pleuropericardial window was performed through a left thoracotomy. Follow-up echocardiograms have shown no reaccumulation of the pericardial fluid.
authors.affiliation: Division of Cardiology, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
authors.forename: Yupada
authors.initials: Y
authors.lastname: Pongprot
authors.forename: Suchaya
authors.initials: S
authors.lastname: Silvilairat
authors.forename: Supachai
authors.initials: S
authors.lastname: Cheuratanapong
authors.forename: Surin
authors.initials: S
authors.lastname: Woragidpoonpol
authors.forename: Rekwan
authors.initials: R
authors.lastname: Sittiwangkul
authors.forename: Charlie
authors.initials: C
authors.lastname: Phornphutkul
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010490:Pericardial Effusion / Q000151:congenital* / Q000175:diagnosis* / Q000601:surgery