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Massive chylopericardium and chylothorax following cardiothoracic surgery.

Research paper by Waqas W Ahmed, Mudassar M Mehmood, Khalid K Rasheed

Indexed on: 11 Jul '06Published on: 11 Jul '06Published in: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP



Abstract

Chylopericardium is a rare complication of cardiothoracic surgery, associated with significant morbidity and mortality. The presentation may be insidious in isolated chylopericardium. Early diagnosis and appropriate treatment are essential. Simultaneous chylopericardium and chylothorax postcardiac surgery has been very infrequently reported. A case of a young patient is, hereby reported, who developed simultaneous massive chylopericardium and chylothorax, after aortic valve replacement and atrial septal defect (ASD) closure, leading to significant hemodynamic compromise and prolonged hospitalization. Surgical exploration led to the correct diagnosis and a favorable outcome.