Quilopericárdio isolado após cirurgia cardíaca

Abstract

Chylopericardium is a rare complication of cardiac surgery. It may be caused by a lesion in the thoracic duct or its tributaries or by thrombosis in the confluence of the jugular and left subclavian veins, obstructing the drainage of the thoracic duct. The treatment may be conservative or surgical, depending on the duration and on the volume of the effusion. We report the case of a 24-year-old female, who, in the late postoperative period of mitral valve replacement (bioprosthesis), was hospitalized with cardiac tamponade due to the presence of chylopericardium. The clinical findings and treatment performed are discussed.

Isolated Chylopericardium in an Infant With Hypoplastic Left Heart Syndrome

“…The incidence of isolated CP in children remains unknown apart from a few published reports from single-center studies. Reports published from single centers of CP following cardiac operations have noted an incidence of 0.12% to 0.22% ( 2 , 3 ), representing 0.0004% to 0.15% of the complications of cardiac surgery ( 4 ). Most cases were treated with pericardiocentesis or a low-fat or medium-chain triglyceride diet.…”

Idiopathic Chylopericardium: A case Report and Breif Review of Literature

“…It is still a rare form of pericardial effusion. Only few cases are described in literature; the first one was by Hasebrock in 1888 [3] and then it was reviewed in other studies. Sagristà-Sauleda et al reported only one case of CP among 461 patients with a large pericardial effusion [4].…”

Chylopericardium After Mitral Valve Repair for Rheumatic Valve Disease Treated with Surgery

“…Incidence of chylopericardium after cardiac surgery is very low and varies from 0.2% to 1.0% ( 1 ). A recent review of the past decade identified 33 patients with chylopericardium, few of them after cardiac surgery ( 2 , 3 , 4 ).…”