Key result
Pedal lymphangiography and lymph vessel ligation resolve rare chylous pericardial effusion after pulmonary endarterectomy.
Why the study?
Chylous pericardial effusion is a rare complication after cardiac surgery, with limited reports following pulmonary endarterectomy.
Chylous pericardial effusion is a rare complication of pulmonary endarterectomy that can be managed with lymphangiography and ligation of the injured vessel.
Answers are grounded in this paper and cite their sources.
Raises awareness of rare post-pulmonary endarterectomy chylous effusion; leaves open the role of lymphangiography-guided ligation pending further cases.
Chylous pericardial effusion is a rare complication of cardiac surgery. We report a case of a patient who underwent pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension and was diagnosed with chylopericardium after the procedure. We present the surgical management of this condition, which included bilateral pedal lymphangiography followed by ligation of injured lymph vessel.
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Nižňanský et al. (2015) studied this question. Pulmonary endarterectomy can rarely be complicated by chylous pericardial effusion, which was successfully managed with bilateral pedal lymphangiography and injured lymph vessel ligation.
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