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Chest, Vol 81, 105-108, Copyright © 1982 by American College of Chest Physicians

ARTICLES

Primary chylopericardium

T Kannagi, G Osakada, A Wakabayashi, C Kawai, M Matsuda and S Miki

In a 23-year-old man with massive chylous pericardial effusion, oral administration of Sudan III and radio-active 131iodine-labelled triolein revealed an abnormal communication between the lymphatic system and the pericardial sac. Despite partial pericardiectomy and resection of the thoracic duct, the fluid reaccumulated, and a postoperative lymphangiogram showed an obstructed left thoracic duct. Resection of this left thoracic duct resulted in full recovery. This is the first reported case of this disease with a duplicate thoracic duct. Careful attention must be paid to the possibility of this variation before and during surgery.


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Copyright © 1982 by the American College of Chest Physicians.