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Case ReportOpen Access
Isolated Primary Chylopericardium : A Case Report
Pongprot Y 
,
Silvilairat S ,
Cheuratanapong S ,
Woragidpoonpol S ,
Sittiwangkul R ,
Phornphutkul C
,
Silvilairat S ,
Cheuratanapong S ,
Woragidpoonpol S ,
Sittiwangkul R ,
Phornphutkul C Isolated primary chylopericardium is a rare entity with an obscure etiology. The authors
report a 10-week-old male infant presenting with tachypnea and enlarged cardiac silhouette. Echocardiography
revealed a large pericardia! effusion. A specific diagnosis of chylopericardium was made
by pericardiocentesis and analysis of the fluid. Despite the pericardia! tube drainage and medium-chain
triglyceride diet, pericardia! effusion reaccumulated. Ligation of the thoracic duct with the establishment
of a pleuropericardial window was performed through a left thoracotomy. Follow-up echocardiograms
have shown no reaccumulation of the pericardia! fluid.
Key word : Chylopericardium, Pericardiocentesis, Thoracic Duct Ligation, Pleuropericardial Window
report a 10-week-old male infant presenting with tachypnea and enlarged cardiac silhouette. Echocardiography
revealed a large pericardia! effusion. A specific diagnosis of chylopericardium was made
by pericardiocentesis and analysis of the fluid. Despite the pericardia! tube drainage and medium-chain
triglyceride diet, pericardia! effusion reaccumulated. Ligation of the thoracic duct with the establishment
of a pleuropericardial window was performed through a left thoracotomy. Follow-up echocardiograms
have shown no reaccumulation of the pericardia! fluid.
Key word : Chylopericardium, Pericardiocentesis, Thoracic Duct Ligation, Pleuropericardial Window
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