Chylopericardial tamponade following atrial septal defect repair: an usual entity

Chylopericardium after cardiac surgery can be treated successfully by oral dietary manipulation: a case report

“…Chylopericardium after cardiac surgery is rare and therefore a high index of suspicion is required for its diagnosis. Its aetiology is usually due to disruptions of the tributaries of the thoracic duct rather than to the main duct itself [ 2 ]. The thoracic duct originates as the cisterna chili adjacent to the second lumbar vertebrae.…”

“…Chylopericardium after intra-thoracic surgery is rare. Its incidence is reported to be between 0.22% to 0.5% [ 1 , 2 ] following paediatric cardiac surgery but is not quantified following cardiac surgery in the adult population. A delay in diagnosis can lead to serious consequences with tamponade and death [ 3 ].…”

Successful surgical intervention for delayed chylopericardial tamponade following aortic valve replacement: a case report

“…Chylopericardium is a rare complication of cardiac surgery, being reported in 0.25 to 0.5% of patients [ 1 ]. Intrathoracic leakage of lymph after cardiac surgery usually results from disruption of the thoracic duct or one of its major tributaries [ 2 ].…”

Steroids as a possible effective therapy in the management of large isolated chylopericardium following open heart surgery

“…3 The diagnosis of chylopericardium is considered debilitating in children as it is associated with high morbidity and mortality from the uncontrolled chyle leaks, which, in turn, leads to hypoproteinemia, immune incompetence, and malnutrition if left untreated. 4,5 Several reports have been published on the incidence of chylopericardium following cardiac surgeries such as correction of atrial septal defect, ventricular septal defect, transposition of great arteries, tricuspid atresia, and Tetralogy of Fallot. The first report that described chylopericardium was in 1981, and a few subsequent cases were reported thereafter.…”

“…The first report that described chylopericardium was in 1981, and a few subsequent cases were reported thereafter. [1][2][3][4][5][6][7][8][9][10][11][12][13] One case in the literature reported isolated chylopericardium following total anomalous pulmonary venous return repair surgery in 1984. 7 In this paper, we report a large isolated chylopericardium treated non-surgically and effectively with steroids in a patient who underwent repair for partial anomalous pulmonary venous return followed by a comprehensive review of the literature and the management.…”