Spontaneous chylous cardiac tamponade: a case report.
BACKGROUND
Chylous cardiac tamponade is a rare condition with little known cause.


METHODS
A case of an otherwise healthy woman who admitted with dyspnea and palpitations is presented. She had a history of a painful flexion-hyperextension of the spine. Diagnostic evaluation proved a chylous pericardial effusion with a disruption of the anterior longitudinal spinal ligament. Video-assisted thoracic surgery with mass supradiaphragmatic ligation of the thoracic duct and pericardial window formation was carried out successfully and resulted in the complete cure of the patient's condition.


CONCLUSIONS
Chylous pericardial effusion and subsequent tamponade is a rare entity. Endoscopic surgery is offering a safe and effective treatment.
Cardiothoracic Surgery Department, Theagenio Cancer Hospital, Al, Symeonidi 2, Thessaloniki, Greece, 54007. nibarbet@yahoo.gr
Nikolaos
N
Barbetakis
Christos
C
Asteriou
Dimitrios
D
Konstantinou
Dimitrios
D
Giannoglou
Christodoulos
C
Tsilikas
Georgios
G
Giannoglou
D000328:Adult; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D002913:Chyle; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010492:Pericardiectomy; D013124:Spinal Injuries / Q000150:complications* / Q000175:diagnosis; D020775:Thoracic Surgery, Video-Assisted