Irie Y, Yamada T, Suzuki O, Murai N, Tanabe S, Oshima N, Nakahara H, Hazato N, Oono Y
Department of Cardiovascular and Thoracic Surgery, Dokkyo University Koshigaya Hospital, Japan.
Kyobu Geka. 1993 Jun;46(6):472-6.
A case of primary chylopericardium in a 54 year-old-man was reported. Despite 3 times of pericardiocentesis, the pericardial fluid accumulated rapidly. After the fenestration of pericardium, a small cannula was inserted for the thoracic ductgram which showed a clearly visible duct upward to the angulus venosus and an abnormal branch near the bifurcation of the trachea spilling some contrast material into the pericardial cavity. Ligation and division of the thoracic duct including an abnormal branch was performed from its entry to the thorax for a length of 13 cm upward. The postoperative course was uneventful and chest X-ray film taken 6 months after surgery showed no accumulation of chyle in the pericardium and pleural cavity.
报道了一例54岁男性原发性乳糜性心包炎病例。尽管进行了3次心包穿刺，但心包积液仍迅速积聚。心包开窗后，插入一根小套管进行胸导管造影，显示向上至静脉角的导管清晰可见，气管分叉附近有一异常分支，有一些造影剂溢入心包腔。从胸导管进入胸腔处开始向上13厘米对胸导管包括异常分支进行结扎和切断。术后过程顺利，术后6个月拍摄的胸部X光片显示心包和胸腔内无乳糜积聚。
