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Updated: May 21, 2026

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
Published on: March 27, 2018
[Successful conservative therapy of chylopericardium after coronary artery by-pass grafting]
Jesper Holmbæck Clausen1, Karsten Tange Veien
1Hjertemedicinsk Afdeling, Sygehus Lillebælt, Vejle Sygehus, 7100 Vejle, Denmark. Jesper@holmbaeck.com
Abstract:
Chylopericardium after thoracic duct injury is a rare but serious complication of thoracic surgery with mortality rates above 50% without intervention. Complications of chylopericardium are malnutrition, immunosuppression, electrolyte derangement and tamponade. This case describes a 67-year-old male who developed chylopericardium after coronary artery by-pass grafting and was successfully treated with conservative therapy consisting of pericardiocentesis and a low fat diet. If conservative therapy fails, thoracic surgery is almost always effective.
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