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Pediatr Radiol. 2015 Jun;45(6):927-30. doi: 10.1007/s00247-014-3182-y. Epub 2014 Sep 24.

Idiopathic chylopericardium treated by percutaneous thoracic duct embolization after failed surgical thoracic duct ligation.

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1
Yale New Haven Hospital, Yale School of Medicine, New Haven, CT, USA.

Abstract

Chylopericardium rarely occurs in pediatric patients, but when it does it is most often a result of lymphatic injury during cardiothoracic surgery. Primary idiopathic chylopericardium is especially rare, with few cases in the pediatric literature. We report a 10-year-old boy who presented with primary idiopathic chylopericardium after unsuccessful initial treatment with surgical lymphatic ligation and creation of a pericardial window. Following readmission to the hospital for a right-side chylothorax resulting from the effluent from the pericardial window, he had successful treatment by interventional radiology with percutaneous thoracic duct embolization. This case illustrates the utility of thoracic duct embolization as a less-invasive alternative to surgical thoracic duct ligation, or as a salvage procedure when surgical ligation fails.

PMID:
25249390
DOI:
10.1007/s00247-014-3182-y
[Indexed for MEDLINE]
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