title: Idiopathic chylopericardium: an unusual cause of cardiac tamponade.
abstract: Chylous pericardial effusion is an uncommon condition, and the treatment is difficult. We report a case of massive chylous pericardial effusion with tamponade in a 22-year-old man, managed successfully. Lymphoscintigraphy confirmed the communication between the lymphatic trunk and the pericardial space, which was surgically ligated. There are relatively few published reports of idiopathic chylopericardium, and its pathogenesis remains unknown. The most effective treatment is surgical ligation of the thoracic duct and creation of a pericardial window.
authors.affiliation: Department of Cardiology, Narayana Hrudayalaya, Bangalore 560099, India. sgss@vsnl.net
authors.forename: Sanjay
authors.initials: S
authors.lastname: Mehrotra
authors.forename: Naushad Ahmed
authors.initials: NA
authors.lastname: Peeran
authors.forename: Abhijit
authors.initials: A
authors.lastname: Bandyopadhyay
mesh_terms: D000328:Adult; D002305:Cardiac Tamponade / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008026:Ligation; D008297:Male; D010490:Pericardial Effusion / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D010496:Pericardium / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D013897:Thoracic Duct / Q000601:surgery