Recurrent Spontaneous Chylopericardium Treated by Thoracic Duct Embolization.

David Bobrowski, Dheeraj Rajan, Cathal O'Leary, Jeremy Edwards

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. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

David BobrowskiDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada. Electronic address: david.bobrowski@mail.utoronto.ca.

Dheeraj RajanDivision of Vascular & Interventional Radiology, University Medical Imaging Toronto, Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital and Women's College Hospital, University of Toronto, Toronto General Hospital, Toronto, Ontario, Canada; Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada.

Cathal O'LearyDivision of Vascular & Interventional Radiology, University Medical Imaging Toronto, Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital and Women's College Hospital, University of Toronto, Toronto General Hospital, Toronto, Ontario, Canada; Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada.

Jeremy EdwardsDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada; Division of Cardiology, St Michael's Hospital, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpontaneous chylopericardium is a rare etiology of pericardial effusion and is a diagnosis of exclusion. CASE SUMMARY: A 45-year-old woman was incidentally found to have a large pericardial effusion on abdominal ultrasound performed for mildly elevated liver enzymes. Transthoracic echocardiography demonstrated early tamponade physiology, prompting urgent pericardiocentesis with drainage of chylous fluid. After early recurrence, intranodal magnetic resonance lymphangiography demonstrated reflux, and catheter-based lymphangiography confirmed a leak arising from the thoracic duct. She underwent percutaneous thoracic duct embolization with concomitant pericardial drainage, resulting in complete resolution without recurrence on follow-up. DISCUSSION: Magnetic resonance lymphangiography can identify occult sources of chylopericardium. Percutaneous thoracic duct embolization provides a minimally invasive alternative to surgical ligation for definitive treatment of thoracic duct leaks. TAKE-HOME MESSAGES: Recurrent spontaneous chylopericardium should prompt evaluation for thoracic duct pathology. Potentially curative thoracic duct embolization should be considered early.

Indexed as

echocardiographyimagingpericardial effusiontamponadethoracic

Identifiers

PMID42084575

DOI10.1016/j.jaccas.2026.108162

PMCPMC13261860

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