title: Late cardiac tamponade by chylous pericardial effusion after coronary artery bypass surgery: case report.
abstract: Chylopericardium is an uncommon but serious complication after open heart surgery that often necessitates surgical treatment. We describe a case of continuous and severely symptomatic chylous pericardial effusion after coronary artery bypass grafting in which the diagnosis was established by lipid electrophoresis. Initial conservative management failed, and ligation of the thoracic duct and pericardial fenestration were finally required for a successful outcome.
authors.affiliation: Department of Cardiothoracic Surgery and Anesthesiology, Karolinska University Hospital, Stockholm, Sweden. anders.albage@karolinska.se
authors.forename: Anders
authors.initials: A
authors.lastname: Albåge
authors.forename: Gösta
authors.initials: G
authors.lastname: Eggertsen
authors.forename: Paolo
authors.initials: P
authors.lastname: Parini
mesh_terms: D000368:Aged; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D002915:Chylous Ascites / Q000209:etiology* / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome