Isolated Chylopericardium after Mitral Valve Replacement: the First Description of Adult Heart Disease in Korea.
10.4266/kjccm.2014.29.2.123
- Author:
Su Wan KIM
1
;
Seogjae LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea. sj1106@jejunu.ac.kr
- Publication Type:Case Report
- Keywords:
chylopericardium;
chylothorax;
complications;
mitral valve;
pericardial effusion
- MeSH:
Adult*;
Chylothorax;
Diet, Fat-Restricted;
Heart Defects, Congenital;
Heart Diseases*;
Heart Septal Defects, Ventricular;
Humans;
Korea;
Lymph Nodes;
Middle Aged;
Mitral Valve*;
Pericardial Effusion*;
Thoracic Surgery;
Thymus Gland
- From:The Korean Journal of Critical Care Medicine
2014;29(2):123-125
- CountryRepublic of Korea
- Language:English
-
Abstract:
Isolated chylopericardium as a complication of cardiac surgery is very rare. Two cases of chylopericardium have been previously reported in Korea; both patients suffered from chylopericardium after a corrective cardiac surgery for a congenital heart disease such as atrial or ventricular septal defect. We report a case of chylopericardium in a 55-year-old mitral valve replacement patient. The reason for chylopericardium was unclear, but it might have been related with the damaged lymph nodes and blunt dissection of the thymus. While most chylopericardium cases require surgical intervention, we managed this chylopericardium case with a low-fat diet for 3 days.