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Pediatric Idiopathic Chylopericardium: A Case Managed with Thoracoscopic Window Pericardiotomy

Animesh Jose1, Vikesh Agrawal2, Himanshu Acharya2

  • 1Department of General Surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India.

Journal of Indian Association of Pediatric Surgeons
|June 24, 2024
PubMed

Insights

Idiopathic chylopericardium, a rare infant condition, involves lymphatic fluid buildup in the heart sac. This case study details successful management via VATS pericardial window creation and a multidisciplinary team.

Area of Science:

  • Pediatric Cardiology
  • Thoracic Surgery
  • Neonatal Medicine

Background:

  • Idiopathic chylopericardium (CP) is a rare condition in infants, marked by lymphatic fluid accumulation in the pericardial sac.
  • Limited established guidelines exist for managing pediatric CP, necessitating case-based approaches.

Observation:

  • A case of idiopathic CP was identified in an infant.
  • The infant presented with symptoms related to pericardial effusion.

Findings:

  • Surgical intervention via Video-Assisted Thoracoscopic Surgery (VATS) to create a pericardial window was performed.
  • A multidisciplinary team approach was employed for comprehensive patient care.

Implications:

  • This case demonstrates the feasibility and effectiveness of VATS pericardial window creation for pediatric idiopathic CP.
  • A multidisciplinary strategy is crucial for optimizing outcomes in this rare condition.

Keywords:
Idiopathic chylopericardiumoctreotidethoracoscopic window pericardiotomy

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