Lee Y, Lee W K, Doromal N, Ganepola G A, Hutchinson J
J Thorac Cardiovasc Surg. 1987 Sep;94(3):449-50.
Isolated chylopericardium after a cardiac operation is a rare clinical entity. A case of isolated chylopericardium with cardiac tamponade after a single aorta-coronary artery bypass graft in a 49-year-old man is presented. Nonsurgical management was unsuccessful. Multiple surgical procedures were necessary for complete control of this difficult problem. The cause of chylopericardium in this patient appears to have been injury to the tributaries of lymphatic ducts in the pericardium.
心脏手术后出现孤立性乳糜心包是一种罕见的临床病症。本文报道了一例49岁男性在进行单支冠状动脉搭桥术后出现伴有心脏压塞的孤立性乳糜心包病例。非手术治疗未成功。为彻底解决这一难题，需要进行多次外科手术。该患者乳糜心包的病因似乎是心包内淋巴管分支受损。
