Isolated primary chylopericardium: a case report.
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.
Pongprot
Yupada
Y
Division of Cardiology, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Silvilairat
Suchaya
S
Cheuratanapong
Supachai
S
Woragidpoonpol
Surin
S
Sittiwangkul
Rekwan
R
Phornphutkul
Charlie
C
D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010490:Pericardial Effusion / Q000151:congenital* / Q000175:diagnosis* / Q000601:surgery