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Published on: February 10, 2022
Challenges to manage primary chylopericardium in children
Ishita Majumdar1, Hemant Kumar Nayak2, Rajarshi Ghosh3
1Department of Cardiology, SSKM Hospital, Kolkata, West Bengal, India.
Insights
Primary chylopericardium in children is rare, often occurring after surgery or trauma. This study highlights contrasting outcomes in two pediatric cases managed surgically after conservative treatments failed, with one survivor.
Area of Science:
- Pediatric Cardiology
- Thoracic Surgery
- Lymphatic Disorders
Background:
- Primary chylopericardium (PC) is an exceptionally rare condition in children.
- Etiologies include trauma, cardiac surgery, malignancy, tuberculosis, and congenital lymphangiomatosis.
- Conservative management with dietary changes and octreotide is often the initial approach.
Abstract:
Primary chylopericardium (PC) is a rare entity in the pediatric population with very few reported cases. Most cases of chylopericardium manifest after trauma or following cardiac surgery. The other etiologies which may lead to chylopericardium are malignancy, tuberculosis, or congenital lymphangiomatosis. We report two cases of PC in the pediatric population with contrasting outcomes. Both failed conservative management with dietary modification and octreotide. Surgery with pleuropericardial and pleuroperitoneal windows was performed in both. The first case had a thoracic duct ligation. The first patient died, and the second survived.
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