Isolated chylopericardium: A rare complication postpediatric cardiac surgery: A case report

Bibliographic Details
Title:	Isolated chylopericardium: A rare complication postpediatric cardiac surgery: A case report
Authors:	Aayush Sharma, Veeresh Manvi, Gananjay Salve, Nidhi Manvi
Source:	Journal of Pediatric Critical Care, Vol 12, Iss 1, Pp 36-38 (2025)
Publisher Information:	Wolters Kluwer Medknow Publications, 2025.
Publication Year:	2025
Collection:	LCC:Pediatrics
Subject Terms:	bidirectional glenn shunt, chylopericardium, congenital cardiac surgery, Pediatrics, RJ1-570
More Details:	Common complications following congenital cardiac surgery include pleural effusion, excessive bleeding, cardiac arrest, and systemic infections. Chylopericardium, however, is very rare. Our patient experienced exertional dyspnea, 1 month after undergoing a bidirectional Glenn shunt with one and a half ventricular repair. A two-dimensional echocardiogram revealed cardiac tamponade without any sign of pleural effusion, necessitating emergency pericardiocentesis. Analysis of the drained fluid confirmed its biochemical composition consistent with chyle. Despite 2 weeks of pericardial drainage and optimal medical management, the chylopericardium persisted. Ultimately, the child required corrective surgery which involved thoracic duct ligation and creation of pleuropericardial window.
Document Type:	article
File Description:	electronic resource
Language:	English
ISSN:	2349-6592 2455-7099
Relation:	https://journals.lww.com/10.4103/jpcc.jpcc_84_24; https://doaj.org/toc/2349-6592; https://doaj.org/toc/2455-7099
DOI:	10.4103/jpcc.jpcc_84_24
Access URL:	https://doaj.org/article/8f3cc0746de9433d99d90964dd26608f
Accession Number:	edsdoj.8f3cc0746de9433d99d90964dd26608f
Database:	Directory of Open Access Journals

More Details
ISSN:	23496592 24557099
DOI:	10.4103/jpcc.jpcc_84_24
Published in:	Journal of Pediatric Critical Care
Language:	English