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The Journal of Thoracic and Cardiovascular Surgery, Vol 73, 719-721, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Y Charnilas, Y Levo, A Weiss, J Glaser and MJ Levy
The case history of a young asymptomatic patient with primary chylous
pericardium is reported. On the basis of this case and those reported in
the literature, we suggest that diagnosis should be established by
echocardiograms, cardiac angiograms, and pericardiocentesis.
Lymphangiograms are useful for the detection of the underlying abnormality
of the lymph vessels. Pericardiectomy together with thoracic duct ligation
are suggested as the preferred treatment. We propose that generalized
lymphatic abnormality is the underlying mechanism of this entity. This
lymphatic abnormality could be associated with impaired cellular immunity,
although no such impairment was found in our patient.
ARTICLES
Isolated idiopathic chylopericardium
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S. Sakata, I. Yoshida, Y. Otani, S. Ishikawa, and Y. Morishita Thoracoscopic treatment of primary chylopericardium Ann. Thorac. Surg., May 1, 2000; 69(5): 1581 - 1582. [Abstract] [Full Text] [PDF] |
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