title: Successful surgical intervention for delayed chylopericardial tamponade following aortic valve replacement: a case report.
abstract: Chylopericardium is one of the rarest complications of cardiac surgery. It is related to direct or indirect injury to the thoracic duct or its tributaries and can result in serious morbidity or even death. A 77-year-old Japanese woman who had severe aortic stenosis underwent routine aortic valve replacement. At 15 days after surgery, she developed cardiac tamponade, which was caused by chylopericardium. She was successfully treated by direct clipping of a thoracic duct tributary and mass ligation of the thymus. This rare condition needs to be kept in mind as a possible cause of postoperative cardiac tamponade.
authors.affiliation: Department of Cardiovascular Surgery, JA Nagano Koseiren Shinonoi General Hospital, Japan 666-1 Shinonoiai, Nagano, Nagano, 388-8004, Japan. t.gyoten29@gmail.com.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Gyoten
authors.affiliation: Department of Cardiovascular Surgery, JA Nagano Koseiren Shinonoi General Hospital, Japan 666-1 Shinonoiai, Nagano, Nagano, 388-8004, Japan. d-toshio@kg8.so-net.ne.jp.
authors.forename: Toshio
authors.initials: T
authors.lastname: Doi
authors.affiliation: First Department of Surgery, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan. fuka@med.u-toyama.ac.jp.
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Fukahara
authors.affiliation: First Department of Surgery, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan. ynaoki@med.u-toyama.ac.jp.
authors.forename: Naoki
authors.initials: N
authors.lastname: Yoshimura
mesh_terms: D000328:Adult; D001024:Aortic Valve Stenosis / Q000601:surgery*; D002305:Cardiac Tamponade / Q000209:etiology* / Q000601:surgery; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008026:Ligation; D010490:Pericardial Effusion / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D013897:Thoracic Duct / Q000601:surgery; D013950:Thymus Gland / Q000601:surgery