Challenges to manage primary chylopericardium in children

Primary chylopericardium (PC) is a rare entity in the pediatric population with very few reported cases. Most cases of chylopericardium manifest after trauma or following cardiac surgery. The other etiologies which may lead to chylopericardium are malignancy, tuberculosis, or congenital lymphangioma...

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Bibliographic Details
Main Authors: Ishita Majumdar, Hemant Kumar Nayak, Rajarshi Ghosh, Srirup Chatterjee, Prithwish Roy, Devdeep Mukherjee
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Annals of Pediatric Cardiology
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Online Access:http://www.annalspc.com/article.asp?issn=0974-2069;year=2023;volume=16;issue=1;spage=71;epage=73;aulast=Majumdar
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Summary:Primary chylopericardium (PC) is a rare entity in the pediatric population with very few reported cases. Most cases of chylopericardium manifest after trauma or following cardiac surgery. The other etiologies which may lead to chylopericardium are malignancy, tuberculosis, or congenital lymphangiomatosis. We report two cases of PC in the pediatric population with contrasting outcomes. Both failed conservative management with dietary modification and octreotide. Surgery with pleuropericardial and pleuroperitoneal windows was performed in both. The first case had a thoracic duct ligation. The first patient died, and the second survived.
ISSN:0974-2069