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Báo cáo y học: "Chylopericardium after cardiac surgery can be treated successfully by oral dietary manipulation: a case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Chylopericardium after cardiac surgery can be treated successfully by oral dietary manipulation: a case report. | Journal of Cardiothoracic Surgery BioMed Central Open Access Case report Chylopericardium after cardiac surgery can be treated successfully by oral dietary manipulation a case report Sing Yang Soon Sharath Hosmane and Paul Waterworth Address South Manchester University Hospital NHS Trust Southmoor Road Manchester M23 9LT UK Email Sing Yang Soon - singyangsoon@yahoo.com Sharath Hosmane - sharathhr@rediffmail.com Paul Waterworth - Paul.Waterworth@smuht.nwest.nhs.uk Corresponding author Published 18 August 2009 Received 29 January 2009 Journal of Cardiothoracic Surgery 2009 4 44 doi l0.ll86 l749-8090-4-44 Accepted 18 August 2009 This article is available from http www.cardiothoracicsurgery.Org content 4 1 44 2009 Soon et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract We report a case of chylopericardium after ascending aorta and aortic valve replacement which presented as late tamponade. We discuss the various treatment options in this rare condition which can result in serious morbidity or death. Introduction Chylopericardium after intra-thoracic surgery is rare. Its incidence is reported to be between 0.22 to 0.5 1 2 following paediatric cardiac surgery but is not quantified following cardiac surgery in the adult population. A delay in diagnosis can lead to serious consequences with tamponade and death 3 . Chronic lymph leak can also lead to immunosuppresion hypoproteinemia and malnutrition 3 . The majority of published literatures on this condition after cardiac surgery are in children. There are few reports of chylopericarium in adults following coronary artery bypass surgery and valvular surgery 4-6 and these advocate treatment with .