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Related Experiment Videos

Massive primary chylopericardium: a case report.

C A Musemeche1, F A Riveron, C L Backer

  • 1Division Cardiovascular-Thoracic Surgery, Children's Memorial Hospital, Chicago, IL 60614.

Journal of Pediatric Surgery
|August 1, 1990
PubMed
Summary
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A massive pericardial effusion caused by chyle accumulation was treated in a boy. Early thoracic duct ligation and pericardiectomy effectively resolved the chylopericardium and pleural effusions.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Pediatric Medicine

Background:

  • Massive pericardial effusion can present asymptomatically in children.
  • Chylopericardium, though rare, requires prompt diagnosis and management.

Observation:

  • A 12-year-old boy presented with a large, asymptomatic pericardial effusion.
  • Echocardiography revealed massive pericardial effusion with cardiac compression.
  • Initial pericardiocentesis and drainage yielded chylous fluid.

Findings:

  • Recurrent chylopericardium despite dietary modifications necessitated surgical intervention.
  • Partial pericardiectomy and pericardial window were performed.
  • Persistent chylous drainage led to bilateral thoracostomies and total parenteral nutrition (TPN).

Related Experiment Videos

  • Ligation of the thoracic duct was ultimately successful in resolving chylous drainage.

    • Implications:

    • This case highlights the effectiveness of early thoracic duct ligation combined with partial pericardiectomy for primary massive chylopericardium.
    • Aggressive management is crucial for complex cases involving recurrent effusions.
    • Timely surgical intervention can prevent long-term complications.