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Updated: Jul 18, 2025

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
Published on: June 8, 2022
Primary idiopathic chylopericardium managed by uniportal VATS
Santhosh Regini Benjamin1, Vinay Murahari Rao1, Premprasath Kesavan1
1The Department of Cardiothoracic Surgery, The Christian Medical College, CMC Hospital, Vellore, Tamil Nadu India 632004.
Chylopericardium, a rare condition, often requires surgery. Uniportal video-assisted thoracic surgery (U-VATS) offers an effective and minimally invasive approach for pericardio-pleural window creation and thoracic duct ligation.
Area of Science:
- Cardiothoracic Surgery
- Thoracic Surgery
- Medical Device Technology
Background:
- Chylopericardium is a rare clinical condition, often resulting from thoracic surgery or mediastinal neoplasms.
- Idiopathic chylopericardium, with no identifiable cause, is frequently encountered.
- Conservative management for chylopericardium is typically unsuccessful, necessitating surgical intervention.
Observation:
- The standard surgical treatment involves creating a pericardio-pleural window and ligating the thoracic duct.
- This abstract focuses on the feasibility of performing this complex procedure using a minimally invasive technique.
Findings:
- Uniportal video-assisted thoracic surgery (U-VATS) provides a straightforward method for executing the recommended surgical procedures.
- The study demonstrates the successful application of U-VATS for chylopericardium treatment.
Implications:
- U-VATS may represent a less invasive alternative for treating chylopericardium, potentially reducing patient recovery time.
- This approach could enhance the accessibility and applicability of surgical interventions for this rare condition.
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