Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Journal of Cardiothoracic Surgery
Published in: Journal of Cardiothoracic Surgery 1/2010

Open Access 01-12-2010 | Case report

Spontaneous chylous cardiac tamponade: a case report

Authors: Nikolaos Barbetakis, Christos Asteriou, Dimitrios Konstantinou, Dimitrios Giannoglou, Christodoulos Tsilikas, Georgios Giannoglou

Published in: Journal of Cardiothoracic Surgery | Issue 1/2010

Login to get access

Abstract

Background

Chylous cardiac tamponade is a rare condition with little known cause.

Case presentation

A case of an otherwise healthy woman who admitted with dyspnea and palpitations is presented. She had a history of a painful flexion-hyperextension of the spine. Diagnostic evaluation proved a chylous pericardial effusion with a disruption of the anterior longitudinal spinal ligament. Video-assisted thoracic surgery with mass supradiaphragmatic ligation of the thoracic duct and pericardial window formation was carried out successfully and resulted in the complete cure of the patient's condition.

Conclusion

Chylous pericardial effusion and subsequent tamponade is a rare entity. Endoscopic surgery is offering a safe and effective treatment.
Appendix
Available only for authorised users
Literature
1.
Furrer M, Hopf M, Ris HB: Isolated primary chylopericardium: treatment by thoracoscopic thoracic duct ligation and pericardial fenestration. J Thorac Cardiovasc Surg. 1996, 112: 1120-1121. 10.1016/S0022-5223(96)70119-8.CrossRefPubMed
2.
Mehrotra S, Peeran NA, Bandyopadhyay A: Idiopathic chylopericardium. An unusual cause of cardiac tamponade. Tex Heart Inst J. 2006, 33: 249-252.PubMedPubMedCentral
3.
4.
Dunn RP: Primary chylopericardium: a review of the literature and an illustrated case. Am Heart J. 1975, 89: 369-377. 10.1016/0002-8703(75)90088-5.CrossRefPubMed
5.
Gallant TE, Hunziker RJ, Gibson TC: Primary chylopericardium: The role of lymphangiography. Am J Roentgenol. 1977, 129: 1043-1045.CrossRef
6.
Wang CH, Yen TC, Ng KK, Lee CM, Hung MJ, Cherng WJ: Pedal (99m) Tc-sulfur colloid lymphoscintigraphy in primary isolated pericardium. Chest. 2000, 117: 598-601. 10.1378/chest.117.2.598.CrossRefPubMed
7.
Akamatsu H, Amano J, Sakamato T, Suzuki A: Primary chylopericardium. Ann Thorac Surg. 1994, 58: 262-266.CrossRefPubMed
8.
Dib C, Tajik AJ, Park S, Kheir ME, Khanderia B, Mookadam F: Chylopericardium in adults: a literature review over the past decade (1996-2006). J Thorac Cardiovasc Surg. 2008, 136: 650-656. 10.1016/j.jtcvs.2008.03.033.CrossRefPubMed
9.
Sakata S, Yoshida I, Otani Y, Ishikawa S, Morishita Y: Thoracoscopic treatment of primary chylopericardium. Ann Thorac Surg. 2000, 69: 1581-1582. 10.1016/S0003-4975(00)01185-1.CrossRefPubMed
10.
Kirby TJ, Mack MJ, Landreneau RJ, Rice TW: Lobectomy--video assisted thoracic surgery versus muscle-sparing thoracotomy. A randomized trial. J Thorac Cardiovasc Surg. 1995, 109: 997-1001. 10.1016/S0022-5223(95)70326-8.CrossRefPubMed
Metadata
Title
Spontaneous chylous cardiac tamponade: a case report
Authors
Nikolaos Barbetakis
Christos Asteriou
Dimitrios Konstantinou
Dimitrios Giannoglou
Christodoulos Tsilikas
Georgios Giannoglou
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2010
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-5-11

Other articles of this Issue 1/2010

Journal of Cardiothoracic Surgery 1/2010 Go to the issue

Letters to the Editor

Letter to the editor

Review

Different ways to repair the mitral valve with artificial chordae: a systematic review

Research article

Long term follow up after surgery in congenitally corrected transposition of the great arteries with a right ventricle in the systemic circulation

Case report

Redo-redo aortic root replacement with a mechanical valved conduit in a patient with von Willebrand's disease: Case report

Research article

Bone healing after median sternotomy: A comparison of two hemostatic devices

Case report

Successful C1 inhibitor short-term prophylaxis during redo mitral valve replacement in a patient with hereditary angioedema