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  • Title: [Primary and secondary chylopericardium].
    Author: von Scheidt W, Kandolf R, Denecke H, Erdmann E.
    Journal: Dtsch Med Wochenschr; 1986 Nov 28; 111(48):1842-6. PubMed ID: 3780456.
    Abstract:
    Primary chylopericardium proved to be the (rare) cause of chronic, symptom-poor pericardial effusion in a 19-year-old man. Echocardiography and pericardiocentesis provided a firm diagnosis. Lymphography demonstrated extravasation into the mediastinum but no direct connection into the pericardial sac. Ligation of the thoracic duct at diaphragmatic level and pericardiostomy achieved a cure. Secondary chylopericardium requires treatment of the underlying disease, e.g. mediastinal tumor. Chylopericardium after thoracic or cardiac operation without signs of tamponade is preferably treated conservatively by pericardiocentesis and diet.
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