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Vellykket konservativ behandling af chylopericardium efter koronar bypassoperation
Engelsk titel: Successful conservative therapy of chylopericardium after coronary artery by-pass grafting Läs online Författare: Holmbaeck Clausen, Jesper ; Veien, Karsten Tange Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 12067122

Tidskrift

Ugeskrift for Laeger 2012;174(25)1743-4 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Chylopericardium after thoracic duct injury is a rare but serious complication of thoracic surgery with mortality rates above 50% without intervention. Complications of chylopericardium are malnutrition, immunosuppression, electrolyte derangement and tamponade. This case describes a 67 year-old male who developed chylopericardium after coronary artery by-pass grafting and was successfully treated with conservative therapy consisting of pericardiocentesis and a low fat diet. If conservative therapy fails, thoracic surgery is almost always effective.