Spontaneous Chylopericardium: Delineation of the Underlying Anatomic Pathology by CT Lymphangiography ANNALS OF THORACIC SURGERY Itkin, M., Swe, N. M., Shapiro, S. E., Shrager, J. B. 2009; 87 (5): 1595–97


Primary isolated chylopericardium is a rare condition with little known cause. This is the case of a 22-year-old woman in whom idiopathic chylopericardium developed. A lymphangiogram followed by a computed tomographic scan demonstrated occlusion of the thoracic duct and multiple lymphatic collaterals abutting the pericardial sac. Thoracic duct ligation resulted in the complete cure of the patient's condition. We theorized that the development of the pathologic lymphatic ducts in close proximity to the pericardium resulted in the development of the slowly accumulating chylopericardium.

View details for DOI 10.1016/j.athoracsur.2008.09.054

View details for Web of Science ID 000265299100051

View details for PubMedID 19379917