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Spontaneous chylous cardiac tamponade: a case report

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 chylo...

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Detalles Bibliográficos
Autores principales: Barbetakis, Nikolaos, Asteriou, Christos, Konstantinou, Dimitrios, Giannoglou, Dimitrios, Tsilikas, Christodoulos, Giannoglou, Georgios
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2848034/
https://www.ncbi.nlm.nih.gov/pubmed/20236535
http://dx.doi.org/10.1186/1749-8090-5-11
Descripción
Sumario: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.