title: 'Early' post-cardiotomy chylopericardium and the imaging value of magnetic resonance thoracic-ductography.
abstract: Isolated chylopericardium is a rare postoperative complication after cardiac surgery. A delay in diagnosis or an inappropriate management can lead to serious consequences. The treatment, which may either be conservative or surgical, is controversial and it depends on the duration and volume of effusion. We report a case of chylopericardium after atrial septal defect repair in a young woman. The patient was treated initially with total parenteral nutrition for 10 days. After drainage diminished, low fat diet containing medium chain triglyceride was instituted. Postoperatively, the role of magnetic resonance thoracic ductography was important for the assessment of the treatment strategy.
authors: Cardiothoracic Surgery Department, General Hospital "G.Papanikolaou", Thessaloniki, Greece. Electronic address: harisdoc76@yahoo.gr.
authors: Charilaos-Panagiotis
authors: CP
authors: Koutsogiannidis
authors: Olga
authors: O
authors: Ananiadou
authors: Georgios
authors: G
authors: Kapsas
authors: Athanasios
authors: A
authors: Madesis
authors: Panagiotis
authors: P
authors: Palladas
authors: George
authors: G
authors: Drossos
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D005260:Female; D006343:Heart Septal Defects / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D013997:Time Factors
keywords: (MRTD); 2D; 3D; Cardiac tamponade; Chyle; MRCP; Magnetic resonance imaging; PACE; Pericardial effusion; TD; Thoracic duct; magnetic resonance cholangiopancreatography; magnetic resonance thoracic ductography; prospective acquisition correction; thoracic duct; three dimensional; two dimensional