A Case of Primary Chylopericardium in Which Three-Dimensional Computed Tomography Scan with Lymphangiography Was Useful

(Department of Cardiovascular Surgery, Social Insurance Chukyo Hospital, Nagoya, Japan)

Noriyuki Kato Hajime Sakurai Tomonobu Abe
Hiroki Hasegawa Sadanari Sawaki Takahisa Sakurai
Junya Sugiura
A 36-year-old previously healthy woman with cardiomegaly on a routine chest X-ray was given a diagnosis of primary chylopericardium after pericardial puncture revealed milky effusion. Endoscopy-assisted ligation of the thoracic duct and creation of a pericardial window was performed. The operation was greatly facilitated by the preoperative three-dimensional CT scan with lymphangiography that precisely demonstrated the distribution of the thoracic duct and other lymphatic ducts.
@Jpn. J. Cardiovasc. Surg. 35: 246-250 (2006)