Pt 15 day old admitted to NICU due to RDS. FT. NSVD.

 

Chest XRay - Rt pleural effusion with mediastinal shift.

 

Pleural drainage. NPO, TPN.

 

After 1 week daily outcome from drainage about 20 ml\kg.

 

plurodesis with 4% iodine. no effect.

 

After 3 weeks - Rt thoracoscopic supra-diaphragmatic Thoracic duct ligation.

 

Uneventful recovery. Discharged with MCT formula feeding.

 

After 2 weeks - mild pericardial effusion ( 10 mm) on Echocardiogarphy.

 

After 1 month > 2 sm pericardial effusion, tachicardia.

 

Lt thoracoscopic creation of pericardial window done. Uneventful recovery.

Edited March 4, 20215 yr by Admin

Wonderful prof!

clinical, radiology and operative pictures will be appreciated

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What is the reason of pericardial effusion ?? If thoracic duct already lighted is it chylous pericardial effusion ???

Retrograde lymph flow

nice question. I was looking for answer for this question many days and found answer - retrograde lymph flow after supradiaphragmatic thoracic duct ligation can cause chylous pericardial effusion.

Thank you 🙏