Ko Seongmin, Lee Yang-Haeng, Cho Kwang-Hyun, Yoon Young-Chul, Han Il-Yong, Park Kyung-Taek, Jung Soo-Jin
Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University, Korea.
Korean J Thorac Cardiovasc Surg. 2011 Oct;44(5):377-9. doi: 10.5090/kjtcs.2011.44.5.377. Epub 2011 Oct 6.
Chylopericardium is a rare disease entity characterized by the accumulation of chylous fluid in the pericardial sac. It usually arises from mediastinal neoplasms, thrombosis of the subclavian vein, tuberculosis, nonsurgical trauma, thoracic or cardiac surgery. The spectrum of symptoms for chylopericardium varies from an incidental finding of cardiomegaly to dyspnea, upper abdominal discomfort, cough, chest pain, palpitation, fatigue. However, most of the patients are asymptomatic. The main purpose of treatment of chylopericardium is the prevention of cardiac tamponade and prevention of metabolic, nutritional, and immunological compromise due to chyle leak. Here, we report a case of chylopercardium secondary to lymphangiomyoma with review of the literature.
乳糜性心包炎是一种罕见的疾病,其特征是心包腔内积聚乳糜液。它通常由纵隔肿瘤、锁骨下静脉血栓形成、结核病、非手术创伤、胸外科或心脏手术引起。乳糜性心包炎的症状范围从偶然发现心脏肿大到呼吸困难、上腹部不适、咳嗽、胸痛、心悸、疲劳。然而,大多数患者无症状。乳糜性心包炎的主要治疗目的是预防心脏压塞,以及预防由于乳糜漏导致的代谢、营养和免疫功能损害。在此,我们报告一例继发于淋巴管肌瘤的乳糜性心包炎病例并复习相关文献。