Galli R, Di Bartolomeo R, Donati A, Palmieri V, Cahsai G, Pierangeli A
G Ital Cardiol. 1981;11(11):1823-30.
The AA report an isolated case of chylopericardium in an 11 years old female as anomalous communication between the thoracic duct and pericardium. The origin of this clinically asymptomatic effusion was observed after lynphography, where, two months later a simple surgical drainage was applied without success. A positive result was obtained by a new surgical procedure which consisted of a pleuro pericardial window. The AA. emphisise on a very rare case of spontaneous pericardial effusion not accompanied by lynphatic stasis in other districts (only 32 observations in Literature). An accurate lynphographic study is obligatory once the nature of the liquid has been accertained in order to avoid a certain recurrence when a simple drainage is applied.
作者报道了一例11岁女性乳糜性心包炎的孤立病例,病因是胸导管与心包之间的异常交通。淋巴造影术后观察到这种临床无症状积液的起源,两个月后进行了简单的外科引流,但未成功。一种新的手术方法,即胸膜心包开窗术取得了阳性结果。作者强调了这是一例非常罕见的自发性心包积液,其他部位无淋巴淤滞(文献中仅有32例观察)。一旦确定了液体的性质,必须进行准确的淋巴造影研究,以避免单纯引流时出现一定的复发。