Borulu Ferhat, Erkut Bilgehan
Department of Cardiovascular Surgery, Medical Faculty, Atatürk University, Erzurum, Turkey.
J Tehran Heart Cent. 2020 Apr;15(2):73-76. doi: 10.18502/jthc.v15i2.4187.
Chylopericardium is a rare complication following cardiac surgery. The incidence of this pathological condition is very low and mainly attributed to lymphatic injuries to the thymus or anterior mediastinum, thoracic duct injuries, or extensive posterior pericardial dissection with the possible interruption of major cardiac lymph channels. A 62-year-old man was admitted to the cardiovascular surgery department for coronary bypass surgery, and the surgical procedure was performed 3 days later. Revision surgery was performed, because of the drainage associated with bleeding. In the post-revision days, the amount of serous drainage increased, and then chylous drainage occurred. After conservative treatment, the drainage of the chylous features decreased and eventually disappeared. The patient was discharged without any problem. At 6 months' follow-up, the patient was doing well with a normal left ventricular function and without effusion.
乳糜性心包积液是心脏手术后一种罕见的并发症。这种病理状况的发生率非常低，主要归因于胸腺或前纵隔的淋巴管损伤、胸导管损伤，或广泛的心包后游离导致主要心脏淋巴通道可能中断。一名62岁男性因冠状动脉搭桥手术入住心血管外科，3天后进行了手术。由于与出血相关的引流问题，进行了再次手术。在再次手术后的几天里，浆液性引流量增加，随后出现乳糜性引流。经过保守治疗，乳糜性引流特征减少并最终消失。患者顺利出院。在6个月的随访中，患者情况良好，左心室功能正常且无积液。
