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Symptomatic Recurrent Chylopericardium: How to Manage This Rare Entity?
Ankit Agrawal1, Beni R Verma1, Jeremy Brooksbank1
1Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
JACC. Case Reports
|September 2, 2021
Summary
Recurrent chylopericardium after cardiac surgery is rare. This case details managing a large, recurring effusion post-myectomy using pericardiocentesis and lymphatic embolization.
Area of Science:
- Cardiology
- Thoracic Surgery
- Vascular Surgery
Background:
- Recurrent chylopericardium is a rare complication following cardiac surgery.
- Hypertrophic sub-valvular aortic stenosis necessitates surgical intervention, including myectomy and membrane resection.
Observation:
- A 69-year-old female presented with a large, recurrent chylopericardium.
- The condition developed after surgical myectomy and sub-aortic membrane resection.
Findings:
- The patient's chylopericardium was successfully treated with pericardiocentesis.
- A subsequent lymphangiogram with glue embolization effectively sealed the lymphatic leak.
Implications:
- This case highlights an effective treatment strategy for recurrent chylopericardium post-cardiac surgery.
- Lymphatic embolization offers a minimally invasive option for managing complex lymphatic leaks.
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