Journal of cardiothoracic surgery · 2010
Spontaneous chylous cardiac tamponade: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Barbetakis Nikolaos, Asteriou Christos, Konstantinou Dimitrios, Giannoglou Dimitrios, Tsilikas Christodoulos, Giannoglou Georgios
Аннотация
BACKGROUND: Chylous cardiac tamponade is a rare condition with little known cause.
CASE PRESENTATION: A case of an otherwise healthy woman who admitted with dyspnea and palpitations is presented. She had a history of a painful flexion-hyperextension of the spine. Diagnostic evaluation proved a chylous pericardial effusion with a disruption of the anterior longitudinal spinal ligament. Video-assisted thoracic surgery with mass supradiaphragmatic ligation of the thoracic duct and pericardial window formation was carried out successfully and resulted in the complete cure of the patient's condition.
CONCLUSION: Chylous pericardial effusion and subsequent tamponade is a rare entity. Endoscopic surgery is offering a safe and effective treatment.
CASE PRESENTATION: A case of an otherwise healthy woman who admitted with dyspnea and palpitations is presented. She had a history of a painful flexion-hyperextension of the spine. Diagnostic evaluation proved a chylous pericardial effusion with a disruption of the anterior longitudinal spinal ligament. Video-assisted thoracic surgery with mass supradiaphragmatic ligation of the thoracic duct and pericardial window formation was carried out successfully and resulted in the complete cure of the patient's condition.
CONCLUSION: Chylous pericardial effusion and subsequent tamponade is a rare entity. Endoscopic surgery is offering a safe and effective treatment.