The Experts below are selected from a list of 285 Experts worldwide ranked by ideXlab platform
Ugolino Livi - One of the best experts on this subject based on the ideXlab platform.
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video assisted thoracoscopic surgery for primary Chylopericardium after orthotopic heart transplantation
Journal of Heart and Lung Transplantation, 2002Co-Authors: Sandro Gelsomino, Angelo Morelli, Lorenzo Porreca, Giorgio Morocutti, Ugolino LiviAbstract:Chylopericardium is a rare complication of cardiac surgical procedures. We describe a 41-year-old woman who underwent orthotopic heart transplantation and developed Chylopericardium early in the post-operative period. Because of unsuccessful conservative treatment (pericardiocentesis, pericardial drainage, low-fat diet with medium-chain triglycerides, and total parenteral nutrition), surgical intervention was indicated and the patient successfully underwent right-sided thoracoscopic duct ligation and partial pericardiectomy (pericardial window).
Sandro Gelsomino - One of the best experts on this subject based on the ideXlab platform.
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video assisted thoracoscopic surgery for primary Chylopericardium after orthotopic heart transplantation
Journal of Heart and Lung Transplantation, 2002Co-Authors: Sandro Gelsomino, Angelo Morelli, Lorenzo Porreca, Giorgio Morocutti, Ugolino LiviAbstract:Chylopericardium is a rare complication of cardiac surgical procedures. We describe a 41-year-old woman who underwent orthotopic heart transplantation and developed Chylopericardium early in the post-operative period. Because of unsuccessful conservative treatment (pericardiocentesis, pericardial drainage, low-fat diet with medium-chain triglycerides, and total parenteral nutrition), surgical intervention was indicated and the patient successfully underwent right-sided thoracoscopic duct ligation and partial pericardiectomy (pericardial window).
Michael Haude - One of the best experts on this subject based on the ideXlab platform.
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percutaneous treatment of idiopathic Chylopericardium
Journal of Vascular and Interventional Radiology, 2009Co-Authors: Hans H Schild, Birgit Simon, Christiane K Kuhl, Michael Nelles, Reiner Koerfer, Dirk Skowasch, Stefanie Kuntzhehner, Michael HaudeAbstract:Chylopericardium is a rare disease that may result from a variety of causes, such as cardiac surgery, trauma, obstruction of the thoracic duct near its drainage into the subclavian vein, or have no identifiable underlying cause. The present report describes a case of idiopathic Chylopericardium in which percutaneous transabdominal occlusion of the thoracic duct was performed as an alternative to surgical duct ligation. The procedure was successful, resulting in a decrease in pericardial fluid accumulation. However, it failed to cure the patient, as constrictive pericarditis developed 2 months later, requiring surgical pericardectomy. Whether this could have been avoided by early (percutaneous) pericardial fenestration is unknown.
Hasan Fevzi Batirel - One of the best experts on this subject based on the ideXlab platform.
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Case report Isolated primary Chylopericardium
1997Co-Authors: Bedrettin Yildizeli, Hasan Fevzi BatirelAbstract:Isolated primary chylopericardum is known to be a rare clinical entity. A 17-year-old girl was diagnosed as isolated primary Chylopericardium. She was unresponsive to conservative treatment with pericardial tube drainage and medium chain triglyceride diet. At 2 weeks after the conservative treatment, ligation and resection of the thoracic duct with establishment of a pericardial window through a left thoracotomy was performed. At 6 months, follow-up showed no accumulation of the pericardial fluid. This case also supports that ligation and resection of the thoracic duct with establishment of a pericardial window is the treatment of choice in isolated primary Chylopericardium. © 1997 Elsevier Science B.V.
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isolated primary Chylopericardium
European Journal of Cardio-Thoracic Surgery, 1997Co-Authors: Mustafa Yuksel, Bedrettin Yildizeli, Ferzat Zonuzi, Hasan Fevzi BatirelAbstract:: Isolated primary chylopericardum is known to be a rare clinical entity. A 17-year-old girl was diagnosed as isolated primary Chylopericardium. She was unresponsive to conservative treatment with pericardial tube drainage and medium chain triglyceride diet. At 2 weeks after the conservative treatment, ligation and resection of the thoracic duct with establishment of a pericardial window through a left thoracotomy was performed. At 6 months, follow-up showed no accumulation of the pericardial fluid. This case also supports that ligation and resection of the thoracic duct with establishment of a pericardial window is the treatment of choice in isolated primary Chylopericardium.
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isolated primary Chylopericardium
The Journal of Thoracic and Cardiovascular Surgery, 1997Co-Authors: Mustafa Yuksel, Bedrettin Yildizeli, Ferzat Zonuzi, Hasan Fevzi BatirelAbstract:Isolated primary chylopericardum is known to be a rare clinical entity. A 17-year-old girl was diagnosed as isolated primary Chylopericardium. She was unresponsive to conservative treatment with pericardial tube drainage and medium chain triglyceride diet. At 2 weeks after the conservative treatment, ligation and resection of the thoracic duct with establishment of a pericardial window through a left thoracotomy was performed. At 6 months, follow-up showed no accumulation of the pericardial fluid. This case also supports that ligation and resection of the thoracic duct with establishment of a pericardial window is the treatment of choice in isolated primary Chylopericardium. © 1997 Elsevier Science B.V.
Philip Y K Pang - One of the best experts on this subject based on the ideXlab platform.
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isolated Chylopericardium an unusual cause of late cardiac tamponade after mitral valve repair
The Annals of Thoracic Surgery, 2020Co-Authors: Alicia X F Chia, Philip Y K PangAbstract:Abstract Isolated Chylopericardium after cardiac surgery is extremely rare, but potentially fatal. We present an unusual case of late postoperative Chylopericardium causing cardiac tamponade 6 weeks after mitral valve repair, tricuspid annuloplasty and left atrial appendage closure via median sternotomy. Emergent pericardiocentesis was performed. Microscopic analysis confirmed the presence of chyle. The patient was successfully managed conservatively with oral dietary manipulation and intravenous octreotide.