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Related Concept Videos

Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Pericarditis I: Introduction01:22

Pericarditis I: Introduction

Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...

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Related Experiment Video

Updated: May 30, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

Delayed chylous pericardial effusion after aortic valve replacement.

Vishal Mundra1, Edward B Savage, Gian M Novaro

  • 1Department of Internal Medicine, Cleveland Clinic Florida, Weston, FL 33331, USA.

Texas Heart Institute Journal
|August 16, 2011
PubMed
Summary

Chylopericardium, a rare complication after aortic valve surgery, presented unusually late in one patient. Thoracic duct ligation successfully treated this rare cardiac surgery complication.

Keywords:
Aortic valve insufficiency/complicationscardiac surgical procedures/adverse effectschylechylous ascites/complications/diagnosis/etiology/surgerydrainagepericardial effusion/complications/diagnosis/etiology/surgerypostoperative complicationsthoracic duct/surgerytreatment outcome

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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Related Experiment Videos

Last Updated: May 30, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Medical Case Reports

Background:

  • Chylopericardium is a rare complication following cardiac surgery.
  • Its occurrence after aortic valve surgery is exceptionally uncommon.
  • Late presentation of chylous pericardial effusion post-aortic valve replacement is highly unusual.

Observation:

  • A 54-year-old male presented with recurrent pericardial effusions four months after bioprosthetic aortic valve replacement for endocarditis.
  • Initial pericardiocentesis yielded lymphocyte-predominant fluid; later surgery revealed 1,500 cc of milky fluid, diagnosing chylopericardium.
  • The patient experienced symptoms consistent with early cardiac tamponade.

Findings:

  • Diagnosis of chylopericardium was confirmed during surgical intervention for recurrent pericardial effusion.
  • High-volume postoperative drainage necessitated further intervention.
  • Thoracic duct ligation was performed as a curative measure for the chylopericardium.

Implications:

  • This case highlights a rare presentation of chylopericardium after aortic valve surgery.
  • It underscores the importance of considering chylopericardium in late-presenting effusions post-cardiac procedures.
  • Successful management with thoracic duct ligation offers a potential treatment strategy for this rare condition.