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Successful surgical intervention for delayed chylopericardial tamponade following aortic valve replacement: a case report

Chylopericardium is one of the rarest complications of cardiac surgery. It is related to direct or indirect injury to the thoracic duct or its tributaries and can result in serious morbidity or even death. A 77-year-old Japanese woman who had severe aortic stenosis underwent routine aortic valve rep...

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Detalles Bibliográficos
Autores principales: Gyoten, Takayuki, Doi, Toshio, Fukahara, Kazuaki, Yoshimura, Naoki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4255646/
https://www.ncbi.nlm.nih.gov/pubmed/25433537
http://dx.doi.org/10.1186/s13019-014-0190-9
Descripción
Sumario:Chylopericardium is one of the rarest complications of cardiac surgery. It is related to direct or indirect injury to the thoracic duct or its tributaries and can result in serious morbidity or even death. A 77-year-old Japanese woman who had severe aortic stenosis underwent routine aortic valve replacement. At 15 days after surgery, she developed cardiac tamponade, which was caused by chylopericardium. She was successfully treated by direct clipping of a thoracic duct tributary and mass ligation of the thymus. This rare condition needs to be kept in mind as a possible cause of postoperative cardiac tamponade. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13019-014-0190-9) contains supplementary material, which is available to authorized users.