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Indian Journal of Mednodent and Allied Sciences
Year : 2015, Volume : 3, Issue : 3
First page : ( 201) Last page : ( 203)
Print ISSN : 2347-6192. Online ISSN : 2347-6206.
Article DOI : 10.5958/2347-6206.2015.00039.4

Chylopericardium after Cardiac Surgery

Hussain B. Sartaj1,*, Reddy S. Vengal2

1Assistant Professor, Department of Cardio Thoracic Surgery, Osmania Medical College, Hyderabad-500059, Telangana

2Assistant Professor, Department of Cardio Thoracic Surgery, NIMS Hospital (Ex), Hyderabad-500059, Telangana, India

*Corresponding author email id: dr_sartaj@yahoo.com

Online published on 19 February, 2016.

Abstract

Chylopericardium after intra-thoracic surgery is rare. Its incidence is reported to be between 0.22% and 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]. Chronic lymph leak can also lead to immunosuppresion, hypoproteinemia and malnutrition[3]. The majority of published literatures on this condition after cardiac surgery are in children. There are few reports of chylopericardium in adults following coronary artery bypass grafting and valvular surgery[4–6], and these advocate treatment with either total parental nutrition or surgical intervention. We report on the case of chylopericardium after a trial. Septal defect surgical closure in an adult patient treated successfully by oral dietary manipulation.

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Keywords

Chylopericardium, Chylopericardium, Cardiac surgery, Hypoproteinemia.

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