An interesting cause of chylopericardium after open heart surgery: a lymphatic channel

Journal of Cardiac Surgery
Ozer SelimogluNoyan Temucin Dgus

Abstract

Chylopericardium is a very rare complication after open heart surgery that is performed by median sternotomy. It is defined as uncontrollable chylous fluid loss, and may lead to hypoproteinemia, malnutrition, and immune deficiency; hence, overall increases postoperative morbidity. In this report, we present a case in which chylopericardium developed after coronary artery bypass grafting. The patient has been successfully treated; however, postoperative course was majorly complicated with the consequences of chylous fluid loss. Interestingly, the cause of the drainage was a lymphatic channel in the mediastinum. To the best of our knowledge, this is the first report in the literature in which a lymphatic channel has been demonstrated sporadically in the mediastinum as a cause of chylopericardium following open heart surgery in the adulthood.

References

Apr 1, 1984·The Thoracic and Cardiovascular Surgeon·Y PapaioannouG Andritsakis
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Jul 1, 1994·The Annals of Thoracic Surgery·H AkamatsuA Suzuki
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Citations

Mar 20, 2010·Journal of Cardiothoracic Surgery·Nikolaos BarbetakisGeorgios Giannoglou

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