Reconstruction of occluded thoracic duct for treatment of chylopericardium

A novel surgical therapy

Rowlens Melduni, Jae Kuen Oh, T. Jared Bunch, Lawrence J. Sinak, Peter Gloviczki

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Chylopericardium is an uncommon disease predominantly caused by trauma. Prolonged chyle depletion may result in nutritional, metabolic, and immunologic deficiencies due to loss of essential proteins, immunoglobulins, fat, vitamins, electrolytes, and water. Medical treatment includes a low-fat diet with medium-chain triglyceride restriction, cardiac support, diuretic medications, and drainage of the pericardial effusion. Conventional surgical therapy consists of pericardial fenestration and thoracic duct ligation. We report a case of massive secondary chylous pericardial effusion successfully treated with microsurgical lymphovenous anastomosis, reconnecting the occluded thoracic duct to the internal jugular vein. This case highlights features and management strategies of this perplexing clinical condition.

Original languageEnglish (US)
Pages (from-to)1600-1602
Number of pages3
JournalJournal of Vascular Surgery
Volume48
Issue number6
DOIs
StatePublished - Dec 2008

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Thoracic Duct
Pericardial Effusion
Chyle
Fat-Restricted Diet
Jugular Veins
Diuretics
Vitamins
Electrolytes
Ligation
Immunoglobulins
Drainage
Triglycerides
Therapeutics
Fats
Water
Wounds and Injuries
Proteins

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Reconstruction of occluded thoracic duct for treatment of chylopericardium : A novel surgical therapy. / Melduni, Rowlens; Oh, Jae Kuen; Bunch, T. Jared; Sinak, Lawrence J.; Gloviczki, Peter.

In: Journal of Vascular Surgery, Vol. 48, No. 6, 12.2008, p. 1600-1602.

Research output: Contribution to journalArticle

Melduni, Rowlens ; Oh, Jae Kuen ; Bunch, T. Jared ; Sinak, Lawrence J. ; Gloviczki, Peter. / Reconstruction of occluded thoracic duct for treatment of chylopericardium : A novel surgical therapy. In: Journal of Vascular Surgery. 2008 ; Vol. 48, No. 6. pp. 1600-1602.
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