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J Thorac Cardiovasc Surg 1998;115:734
© 1998 Mosby, Inc.

LETTERS TO THE EDITOR

Thoracic duct ligation for chylopericardium

Carl L. Backer, MD

To the Editor:

In the August 1997 issue of the Journal (1997;114:299), Yüksel and associates stated "no such approach [thoracotomy for ligation of the thoracic duct] to isolated primary chylopericardium has been described in the literature." My colleagues and IGo 1 described such an approach in 1990 in a case report published in the Journal of Pediatric Surgery. A child with primary chylopericardium had initial left thoracotomy and pericardial window, followed by a no-fat diet. This was unsuccessful (recurrent chylopericardium). Two weeks later he had a right thoracotomy with ligation of the thoracic duct. This was successful, and on long-term follow-up he has had no recurrence of the chylopericardium.

Division of Cardiothoracic SurgeryChildren's Memorial Hospital2300 Children's Plaza, Box 22, Chicago, IL 60614-3318 References

  1. Musemeche CA, Riveron FA, Backer CL, Zales VR, Idriss FS. Massive primary chylopericardium: a case report. J Pediatr Surg 1990;25:840-2.[Medline]



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This Article
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