Document Detail


Chylopericardial tamponade masquerading as hemopericardium: an uncommon complication of cardiac surgery.
MedLine Citation:
PMID:  22437898     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Chylopericardial tamponade occurs very rarely after heart surgery. It may be the result of lymphatic duct interruption during mammary artery harvest, division of a large thymic remnant, or thrombosis of the subclavian or internal jugular vein by an indwelling central line. Although relatively straightforward when the pericardial aspirate has the usual milky appearance, the correct diagnosis can easily be overlooked particularly early after surgery when the patient is still fasting. We present a case report that illustrates the importance of sending all aspirates for chemical analysis irrespective of their color to arrive at the correct diagnosis and institute the appropriate medical management of this rare condition.
Authors:
Imad F Tabry; Aristide Zacharoudis; Eugene M Constantini
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Innovations (Philadelphia, Pa.)     Volume:  6     ISSN:  1559-0879     ISO Abbreviation:  Innovations (Phila)     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2012-03-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101257528     Medline TA:  Innovations (Phila)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  129-32     Citation Subset:  IM    
Affiliation:
From the *Sections of Cardiac Surgery and †Cardiology, Holy Cross Hospital, Fort Lauderdale, FL USA.
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