Acute Chylopericardium With Tamponade and Cardiac Arrest With Pseudomyxoma Peritonei

Nikolaj Milandt; Thomas Birkelund; Morten Engholm

doi:10.1016/j.amjcard.2021.01.035

Acute Chylopericardium With Tamponade and Cardiac Arrest With Pseudomyxoma Peritonei

Am J Cardiol. 2021 May 1:146:134-136. doi: 10.1016/j.amjcard.2021.01.035. Epub 2021 Feb 3.

Authors

Nikolaj Milandt¹, Thomas Birkelund², Morten Engholm³

Affiliations

¹ Department of Intensive Care Medicine, Aarhus University Hospital, Denmark. Electronic address: Milandt89@gmail.com.
² Department of Intensive Care Medicine, Aarhus University Hospital, Denmark.
³ Department of Cardiology, Aarhus University Hospital, Denmark.

PMID: 33548186
DOI: 10.1016/j.amjcard.2021.01.035

Abstract

A 51-year-old woman with pseudomyxoma peritonei developed cardiac arrest 5 days after surgery. Acute echocardiography demonstrated pericardial tamponade. Emergency pericardiocentesis evacuated milky fluid and circulation was re-established. Analysis of the pericardial fluid suggested chylopericardium. In conclusion, this case demonstrates that chylopericardium may be life-threatening and underlines the importance of acute echocardiography in critical management of patients with unexplained shock.

Publication types

Case Reports

MeSH terms

Acute Disease
Cardiac Tamponade / diagnosis
Cardiac Tamponade / etiology*
Diagnosis, Differential
Echocardiography
Female
Heart Arrest / diagnosis
Heart Arrest / etiology*
Humans
Middle Aged
Pericardial Effusion / diagnosis
Pericardial Effusion / etiology*
Pericardiocentesis / methods*
Peritoneal Neoplasms / complications*
Peritoneal Neoplasms / diagnosis
Pseudomyxoma Peritonei / complications*
Pseudomyxoma Peritonei / diagnosis
Tomography, X-Ray Computed