Challenges to manage primary chylopericardium in children.

Authors :: Majumdar I
Nayak HK
Ghosh R
Chatterjee S
Roy P
Mukherjee D
Source :: Annals of pediatric cardiology [Ann Pediatr Cardiol] 2023 Jan-Feb; Vol. 16 (1), pp. 71-73. Date of Electronic Publication: 2023 Apr 04.
Publication Year :: 2023
Abstract: Primary chylopericardium (PC) is a rare entity in the pediatric population with very few reported cases. Most cases of chylopericardium manifest after trauma or following cardiac surgery. The other etiologies which may lead to chylopericardium are malignancy, tuberculosis, or congenital lymphangiomatosis. We report two cases of PC in the pediatric population with contrasting outcomes. Both failed conservative management with dietary modification and octreotide. Surgery with pleuropericardial and pleuroperitoneal windows was performed in both. The first case had a thoracic duct ligation. The first patient died, and the second survived.<br />Competing Interests: There are no conflicts of interest.<br /> (Copyright: © 2023 Annals of Pediatric Cardiology.)