Isolated Primary Chylopericardium : A Case Report
YUPADA PONGPROT, MD*, SUCHA Y A SILVILAIRA T, MD*,
SUPACHAI CHEURATANAPONG, MD**, SURIN WORAGIDPOONPOL, MD**,
REKW AN SITTIW ANGKUL, MD*, CHARLIE PHORNPHUTKUL, MD*
Affiliation : *Division of Cardiology, Department of Pediatrics,
**Division of Cardiovascular-Thoracic Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University,
Chiang Mai 50200, Thailand.
AbstractIsolated primary chylopericardium is a rare entity with an obscure etiology. The authors
report a 10-week-old male infant presenting with tachypnea and enlarged cardiac silhouette. Echo
cardiography revealed a large pericardia! effusion. A specific diagnosis of chylopericardium was made
by pericardiocentesis and analysis of the fluid. Despite the pericardia! tube drainage and medium-chain
triglyceride diet, pericardia! effusion reaccumulated. Ligation of the thoracic duct with the establish
ment of a pleuropericardial window was performed through a left thoracotomy. Follow-up echo
cardiograms have shown no reaccumulation of the pericardia! fluid.
Keywords : Chylopericardium, Pericardiocentesis, Thoracic Duct Ligation, Pleuropericardial Window
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