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Spontaneous chylous cardiac tamponade: a case report.

TitleSpontaneous chylous cardiac tamponade: a case report.
Publication TypeJournal Article
Year of Publication2010
AuthorsBarbetakis, N., Asteriou C., Konstantinou D., Giannoglou D., Tsilikas C., & Giannoglou G.
JournalJ Cardiothorac Surg
Volume5
Pagination11
Date Published2010
ISSN1749-8090
KeywordsAdult, Cardiac Tamponade, Chyle, Diagnosis, Differential, Female, Humans, Magnetic Resonance Imaging, Pericardial Effusion, Pericardiectomy, Spinal Injuries, Thoracic Surgery, Video-Assisted
Abstract

BACKGROUND: Chylous cardiac tamponade is a rare condition with little known cause.CASE PRESENTATION: A case of an otherwise healthy woman who admitted with dyspnea and palpitations is presented. She had a history of a painful flexion-hyperextension of the spine. Diagnostic evaluation proved a chylous pericardial effusion with a disruption of the anterior longitudinal spinal ligament. Video-assisted thoracic surgery with mass supradiaphragmatic ligation of the thoracic duct and pericardial window formation was carried out successfully and resulted in the complete cure of the patient's condition.CONCLUSION: Chylous pericardial effusion and subsequent tamponade is a rare entity. Endoscopic surgery is offering a safe and effective treatment.

DOI10.1186/1749-8090-5-11
Alternate JournalJ Cardiothorac Surg
PubMed ID20236535
PubMed Central IDPMC2848034

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