Skip to main content

Advertisement

SpringerLink
Log in

Chylopericardium following mitral valve replacement

  • Published:
The Japanese Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

A 49-year-old man with mitral regurgitation developed chylopericardium after mitral valve replacement. On postoperative day (POD) 1, the patient was started on a regular diet. On POD 2, drainage from retrosternal and intrapericardial tubes increased, becoming turbid and milky. Because the triglyceride concentration was high at 197 mg/dl, we diagnosed the condition as chylopericardium. The patient was given nothing by mouth for 2 days and, from POD 4, received a low-fat diet, after which drainage cleared and volume decreased. The 2 drainage tubes were removed on POD 6, and he was discharged without complications on POD 18.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Campbell RM, Benson LN, Williams WW, Adatia I. Chylopericardium after cardiac operations in children. Ann Thorac Surg 2001; 72: 193–6.

    Article  CAS  PubMed  Google Scholar 

  2. Thomas CS Jr., McGoon DC. Isolated massive chylopericardium following cardiopulmonary bypass. J Thorac Cardiovasc Surg 1971; 61: 945–8.

    PubMed  Google Scholar 

  3. Gabella G. Lymphatic system. In: Williams PL, ed. Gray's Anatomy, 38th ed. New York: Churchill Livingstone, 1995: 1605–26.

    Google Scholar 

  4. Kansu E, Fraimow W, Smullens SN. Isolated massive chylopericardium. Complication of open heart surgery. Chest 1977; 71: 408–10.

    Article  CAS  PubMed  Google Scholar 

  5. Pollard WM, Schuchmann GF, Bowen TE. Isolated chylopericardium after cardiac operation. J Thorac Cardiovasc Surg 1981; 81: 943–6.

    CAS  PubMed  Google Scholar 

  6. Rose DM, Colvin SB, Danilowicz D, Isom OW. Cardiac tamponade secondary to chylopericardium following cardiac surgery: case report and review of the literature. Ann Thorac Surg 1982; 34: 333–6.

    Article  CAS  PubMed  Google Scholar 

  7. Bakey C, Wijers TW. Treatment of cardiac tamponade due to isolated chylopericardium following open heart surgery. J Cardiovasc Surg 1984; 25: 249–51.

    Google Scholar 

  8. Delaney A, Daicoff GR, Hess PJ, Victrica B. Chylopericardium with cardiac tamponade after cardiovascular surgery in two patients. Chest 1976; 69: 381–3.

    Article  CAS  PubMed  Google Scholar 

  9. Sharpe DAC, Pullen MDM, McGoldrick JP. A minimally invasive approach to chylopericardium after coronary artery surgery. Ann Thorac Surg 1999; 68: 1062–3.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Hitachi General Hospital, 2-1-1 Jonan-cho, 317-007, Hitachi, Ibaraki, Japan

    Akinobu Sasaki MD, Yasunori Watanabe MD & Chiho Tokunaga MD

Authors
  1. Akinobu Sasaki MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yasunori Watanabe MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Chiho Tokunaga MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sasaki, A., Watanabe, Y. & Tokunaga, C. Chylopericardium following mitral valve replacement. Jpn J Thorac Cardiovasc Surg 50, 518–519 (2002). https://doi.org/10.1007/BF02913165

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02913165

Key words

Search

Navigation