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Abstract

Research in Pediatrics & Neonatology

Primary Chylopericardium in Preterm Newborn Presenting with Cardiac Tamponade and Obstructive Shock: A Case Report

  • Open or CloseDr. Barilli M1*, Dr. Landi M2, Dr. Rossi MM3, Dr. Maffei S4, Dr. Barbati R4, Dr. Andriani S5, Dr. Tomasini B2, Dr. Rinelli G6, Dr. Drago F6 and Dr. Antonelli G6

    1Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Policlinico “Le Scotte”, Italy

    2Women and Children’s Department, Division of Neonatal Intensive Care, University Senese Hospital Company, Policlinico “Le Scotte”, Italy

    3Department of Molecular Medicine and Development, Clinical Paediatrics, University of Siena, Policlinico “Le Scotte”, Italy

    4Cardio-thoracic-vascular Department, Division of Cardiology, University of Siena, Policlinico “Le Scotte”, Italy

    5Cardio-Thoracic and Vascular Department, Cardiac Surgery Unit, University of Siena, Policlinico “Le Scotte”, Siena, Italy

    6Pediatric Cardiology and Cardiac Arrhythmias and Syncope Unit, Bambino Gesù Children’s Hospital, IRCSS, Italy

    *Corresponding author: Barilli Maria, Division of Cardiology, University of Siena, Viale Bracci, Siena, Italy

Submission: June 21, 2024;Published: July 05, 2024

ISSN : 2576-9200
Volume8 Issue3

Abstract

Idiopathic chylopericardium in neonates is exceedingly rare, often benign and presents with varied symptoms. We present a case of obstructive cardiogenic shock due to chylous pericardial effusion in a newborn with fetal hydrops without congenital heart disease. The premature newborn exhibited signs of systemic congestion and respiratory distress few days after birth. Despite initial stability, the infant later deteriorated into cardiogenic shock, prompting emergency echocardiography revealing cardiac tamponade. Emergency pericardiocentesis resulted in immediate hemodynamic improvement. Subsequent management included octreotide therapy and low-fat parenteral nutrition. Laboratory findings confirmed chylous effusion. Conservative management led to resolution without recurrence. This case highlights the importance of early recognition and prompt treatment in neonatal obstructive shock caused by cardiac tamponade. Regular follow-up is crucial to monitor for long-term complications.

Funding: This work was supported also by Italian Ministry of Health with “Current Research funds”.

Keywords: Chylopericardium; Cardiac tamponade; Obstructive shock

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