A Case of Primary Chylopericardium in Which Three-Dimensional Computed Tomography Scan with Lymphangiography Was Useful / 日本心臓血管外科学会雑誌

ABSTRACT

A 36-year-old previously healthy woman with cardiomegaly on a routine chest X-ray was given a diagnosis of primary chylopericardium after pericardial puncture revealed milky effusion. Endoscopy-assisted ligation of the thoracic duct and creation of a pericardial window was performed. The operation was greatly facilitated by the preoperative three-dimensional CT scan with lymphangiography that precisely demonstrated the distribution of the thoracic duct and other lymphatic ducts.