Primary Chylopericardium

Groves, Laurence K.; Effler, Donald B.

doi:10.1056/nejm195403252501206

Cited by 82 publications

(29 citation statements)

References 6 publications

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“…From Groves and Effler’s description in 1954 [5] until 2007, Silva reported that 114 cases of “primary” or “idiopathic” chylopericardium had been described in the literature [6]. We have found 14 new cases reported since 2007, with a total of 128 cases described up to November 2013.…”

Section: Discussionmentioning

confidence: 89%

“…The term “primary chylopericardium” was first used by Groves and Effler [5], who described a case of isolated accumulation of chyle in a 31-year-old woman who was found to have isolated, recurrent accumulation of chyle in the pericardium associated with mediastinal cystic hygroma. They used the term “primary idiopathic chylopericardium” in this first case report because no apparent etiologic mechanism was evident.…”

Section: Discussionmentioning

confidence: 99%

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Primary idiopathic chylopericardium: a retrospective case series

Han

Jing

et al. 2015

BMC Surg

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BackgroundPrimary idiopathic chylopericardium is a rare clinical entity characterized by the accumulation of chyle within the pericardial cavity without a definitive cause. The aim of this study was to assess the clinical presentation, etiology, diagnosis, treatment and follow-up of primary idiopathic chylopericardium.MethodsWe retrospectively reviewed 9 cases of patients who suffered from primary idiopathic chylopericardium at our hospital from January 1993 to November 2013.ResultsThere were two males and seven females among our patients. Their ages ranged from 13 to 55 years. The most common clinical presentation was dyspnea. The etiology was idiopathic. All patients were diagnosed by pericardiocentesis, computed tomography of the chest and lymphoscintigraphy. Non-surgical therapy was adopted in all nine patients and failed in six, who underwent subsequent successful surgery. Thoracic duct ligation with the creation of a pericardial window was the most common surgical procedure. All patients were followed up from 3 months to 9 years, and no recurrence occurred.ConclusionsIn assessing patients with an enlarged cardiac silhouette, one should be aware of primary idiopathic chylopericardium. The most effective treatment is ligation of the thoracic duct and the creation of a pericardial window.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Primary idiopathic chylopericardium: a retrospective case series

Han

Jing

et al. 2015

BMC Surg

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“…Sagristà-Sauleda et al reported only one of 461 patients with large pericardial effusion had chylopericardium [2]. Primary or idiopathic chylopericardium is diagnosed in the absence of any apparent precipitat- ing factor [3]. Primary chylopericardium was first reported by Groves and Effler [3].…”

Section: Discussionmentioning

confidence: 97%

“…Primary or idiopathic chylopericardium is diagnosed in the absence of any apparent precipitat- ing factor [3]. Primary chylopericardium was first reported by Groves and Effler [3]. Since then 114 cases have been reported up to 2007 [4].…”

Section: Discussionmentioning

confidence: 99%

Primary chylopericardium treated by surgery: Report of two cases

Hattori

Dakeshita

Nakazato

et al. 2011

Journal of Cardiology Cases

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Primary chylopericardium is a rare condition. The etiology and the treatment remain unclear. We report two cases of primary chylopericardium successfully treated by surgery. Both cases were asymptomatic young women and were found to have cardiomegaly on chest X-ray at a routine annual health examination. An echocardiography demonstrated massive pericardial effusion and chylous fluid was obtained with pericardiocentesis. Lymphoscintigraphy demonstrated abnormal communication between the pericardial sac and the thoracic duct. Because of reaccumulation of chylous pericardial effusion after conservative treatment, we performed surgical ligation of thoracic duct and partial pericardectomy by video-assisted thoracic surgery (VATS) in one case and by thoracotomy in another case. After surgery, both patients are doing well without recurrence of pericardial effusion. Surgical treatment including VATS is effective and should be performed in case of primary chylopericardium.

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“…When there is no cause to be found it is termed primary chylopericardium as established by Groves and Effler [9] in 1954. In a review of the literature there are few cases reported.…”

Section: Discussionmentioning

confidence: 98%