H Akamatsu1, J Amano, T Sakamoto
1Department of Cardiothoracic Surgery, National Tokyo Medical and Dental University, School of Medicine, Japan.
Surgical treatment for primary chylopericardium involves identifying thoracic duct abnormalities using enhanced CT scans and lymphangiography. Ligation and resection of the thoracic duct with a pericardial window via left thoracotomy is the most effective surgical approach.
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