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(Circulation. 1967;35:777.)
© 1967 American Heart Association, Inc.

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Chronic Primary Chylopericardium

Report of a Case and Review of the Literature

ISA A. FAWAL M.D.¹; LARRY KIRKLAND M.D.¹; RONALD DYKES M.D.¹; GLENN L. FOSTER M.D.¹

¹ From the Department of Medicine, University of Alabama Medical Center, Birmingham, Alabama.

The case of a 36-year-old white man who had recurrent milky pericardial effusion and repeated pericardiocenteses over a period of 1 year with minimal disability or symptoms is presented. Surgical management included thoracotomy with ligation of all structures resembling lymphatic channels in the chest in several places and hemipericardiectomy. Neither the source of chyle in the pericardium nor the etiological agent of this condition could be found. Criteria for successful management of this condition are re-emphasized.

Key Words: Pericardiectomy • Lymphatics • Pericardiocentesis • Pericardial effusion

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