CLINICAL CASE OF CHYLOPERICARDIUM IN A PATIENT AFTER VATS LOBECTOMY
Abstract
Chylopericardium is a rare medical condition when in the pericardial cavity chylous fluid is found. It contains high concentrations of triglycerids, with development of progressive cardiac insufficiency. In the present article we report about a clinical case of chylopericardium development in a patient, 66, following thoracic intervention. We observed clinical manifestation, etiology, diagnostics and treatment.
About the Authors
A. M. Bostanova
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation
Russian Federation
S. D. Sitnik
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation
Russian Federation
V. A. Zhikharev
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation
Russian Federation
References
1. Бокерия Л.А., Касьянова Н.Ю., Малинин А.А. Методы и результаты лечения послеоперационного хилоторакса и хилоперикарда в грудной и сердечнососудистой хирургии. Грудная и сердечно-сосудистая хирургия. 2016; 58(1): 1-59
2. Жихарев В.А., Малышев Ю.П., Шанина Л.Г., Песчанская О.И., Роговик Д.В., Ситник С.Д. Связь волемической поддержки с развитием острой послеоперационной дыхательной недостаточности после торакальных онкологических операций. Инновационная медицина Кубани. 2017; 4: 6-12
3. Машимбаев Е.К., Малинин А.А. Эпидемиология, патогенез и тактика лечения экстра- и интраторакальных повреждений грудного протока и его притоков в сердечно-сосудистой хирургии. Вестник лимфологии. 2009; 3: 19-25
4. Партигулова А.С., Васильев В.П., Галяутдинов Д.М., Ширяев А.А., Акчурин Р.С., Баринова И.В., Простакова Т.С., Агеев Ф.Т., Лазуткина В.К., Коробкова И.З., Бедимогова С.С., Федотенков И.С. Клинический случай: Эффективность октреотида в лечении послеоперационного хилоперикарда. Кардиологический вестник. 2017; 4: 102 -108
5. Перельман М.И., Юсупов И.А., Седова Т.Н. Хирургия грудного протока. М.: Медицина. 1984; С. 135
6. Сampbell R.M., Benson L.N., Williams W.W., Adatia I. Chylopericardium after cardiac operations in children. Ann. Thorac. Surg. 2001; 72(1): 193-196.
7. Cerfolio R.J., Allen M.S., Deschamps C. Postoperative chylothorax J. Thorac Cardiovasc Surg. 1996; 112(5): 1361-1365.
8. Denfield S.W., Rodriguez A., Miller-Hance W.C., Stein F., Ott D.A., Jefferson L.S., Bricker J.T. Management of postoperative chylopericardium in childhood. Am. J. Cardiol. 1989; 1: 1416-8.
9. Dib C., Tajik A.J., Park S. Chylopericardium in adults: A literature review over the past decade (19962006). Thorac. Cardiovasc. Surg. 2008; 136 (3): 650-6.
10. Dunn R.P. Primary chylopericardium: A review of the literature and an illustrated case. Am Heart J. 1975; 89: 369-377.
11. Groves L.K., Effler D.B. Primary chylopericardium. N.Engl J Med. 1954; 250: 520-523.
12. Hasebrock K.H. Analysaeeiner chylosen perikardialen Flussigkei (Chylopericardium). Z. Physiol. Chem. 1888; 12: 289-94.
13. Hashim S.A., Roholt H.B., Babayan V.K., Vanitallie T.B. Treatment of chyluria and chylothorax with medium-chain triglyceride. N. Engl. J. Med. 1964; 270: 756-761.
14. Kan C.D., Wang J.N., Wu J.M., Yang Y.J. Isolated chylopericardium after intrapericardial procedures: possible role of inadvertent right efferent lymphatic trunk injury. Tex. Heart. Inst. J. 2007; 34(1): 82-87.
15. Nikolaos Barbetakis, Christos Asteriou. Spontaneous chylous cardiac tamponade: a case report. Journal of cardiothoracic surgery. 2010; 17: 5-11.
16. Pitol R., Pederiva J.R., Pasin F., Vitola D. Isolated chylopericardium after cardiac surgery. Arq Bras Cardiol. 2004; 82: 384-389.
17. Riquet M., Le Pimpec Barthes F., Souilamas R., Hidden G. Thoracic duct tributaries from intrathoracic organs. Ann. Thorac.Surg. 2002; 73(3): 892-899.
18. Rivera-Beltran S., Ortiz V.N., Diaz R., Hernandez J.A. Transabdominal ligation of the thoracic duct with pericardial-peritoneal shunting in a case of primary idiopathic chylous pericardial effusion. J Pediatr Surg. 2013; 48: 1434-1437.
19. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. American Thoracic Society. Am J RespirCrit Care Med. 1995; 152: 77-121. [PubMed]
20. Thomas C.S. Jr., McGoon D.C. Isolated massive chylopericardium following cardiopulmonary bypass. J. Thorac. Cardiovasc. Surg. 1971; 61(6): 945-948.
21. Xue Yu, Na Jia, Sanxia Ye, Min Zhou, Deping Liu. Primary chylopericardium: A case report and literature review. ExpTher Med. 2018; 15(1): 419-425.
Review
For citations:
Bostanova A.M., Sitnik S.D., Zhikharev V.A. CLINICAL CASE OF CHYLOPERICARDIUM IN A PATIENT AFTER VATS LOBECTOMY. Innovative Medicine of Kuban. 2018;(1):36-40. (In Russ.)
Views:
493
Email this article 
