Evidence map›Paper›PMID 41546670›Full record

ArticleJACC. Case reports2026

Chylous Collection in the Pacemaker Pocket Masquerading as Infection.

Alanna C O'Neill, Vanessa Zhu, Theodore Marentis, Thomas Wu, Arash Aryana

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alanna C O'NeillCreighton University School of Medicine, Phoenix, Arizona, USA. Electronic address: alannaoneill@creighton.edu.
Vanessa ZhuMercy Medical Group of Sacramento, Sacramento, California, USA.
Theodore MarentisMercy Medical Group of Sacramento, Sacramento, California, USA.
Thomas WuMercy Medical Group of Sacramento, Sacramento, California, USA.
Arash AryanaMercy Medical Group of Sacramento, Sacramento, California, USA; Creighton University School of Medicine, Omaha, Nebraska, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough a largely safe procedure, a variety of complications may arise from pacemaker implantation. One rare complication involves chylous collections forming at the pacemaker pocket. CASE SUMMARY: A 58-year-old woman with myotonic dystrophy and a dual-chamber pacemaker presented with chronic swelling over her pacemaker site. Imaging revealed a large fluid collection. Needle aspiration yielded 600 mL of milky, odorless fluid with a triglyceride level of 403 mg/dL, consistent with a chylous effusion. Lymphangiography and lymphoscintigraphy suggested impaired thoracic duct drainage, likely secondary to iatrogenic injury during pacemaker implantation. The patient was managed with a low-fat diet and remained asymptomatic without recurrence. DISCUSSION: Chylous fluid collections in pacemaker pockets are a rarely documented postsurgical complication. Understanding of diagnosis and treatment of this complication remains poorly explored. TAKE-HOME MESSAGE: This case emphasizes the need to consider lymphatic disruption in patients with persistent device site fluid collections.

Indexed as

cardiac device infection mimicchylous effusionlymphatic leakagepacemaker complicationspocket swellingthoracic duct injury

Identifiers

PMID41546670
PMCPMC13244029

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.