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  • Title: An interesting cause of chylopericardium after open heart surgery: a lymphatic channel.
    Author: Selimoglu O, Basaran M, Ugurlucan M, Temucin Dgus N.
    Journal: J Card Surg; 2008; 23(3):261-3. PubMed ID: 18435647.
    Abstract:
    Chylopericardium is a very rare complication after open heart surgery that is performed by median sternotomy. It is defined as uncontrollable chylous fluid loss, and may lead to hypoproteinemia, malnutrition, and immune deficiency; hence, overall increases postoperative morbidity. In this report, we present a case in which chylopericardium developed after coronary artery bypass grafting. The patient has been successfully treated; however, postoperative course was majorly complicated with the consequences of chylous fluid loss. Interestingly, the cause of the drainage was a lymphatic channel in the mediastinum. To the best of our knowledge, this is the first report in the literature in which a lymphatic channel has been demonstrated sporadically in the mediastinum as a cause of chylopericardium following open heart surgery in the adulthood.
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