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Chylopericardium or contamination by injectable lipid emulsion?
Article Illustrations
A. "Artificial" Chylomicron:
1. Phospholipids
2. Triglycerides
3. Fatty acids (olive oil, soybean oil, etc.)
4. Parenteral nutrition bag
5. Lipid emulsion
B. Right Subcostal Approach:
6. Via the internal jugular vein
7. Superior vena cava stenosis = Superior vena cava syndrome:
a. Cerebral edema (cerebral risk)
b. Right varicose lace pattern
c. Left collateral venous circulation
d. "Cloak-like" edema
8. Via the right atrium (intracardiac)
D. "Natural" Chylomicron: Composition and Pathway:
21. Free cholesterol (non-esterified cholesterol)
22. Apolipoprotein
23. Cholesteryl ester
24. Cisterna chyli (Pecquet's cistern)
25. Juxta-cardiac lymph nodes
26. Coronary falx lymph node
27. Splenic chain
28. Right gastro-epiploic lymph nodes
29. Sub-pyloric lymph node (Nodi subpylorici)
30. Retro-pyloric lymph node
31. Horizontal segment of the hepatic chain
32. Superior retro-duodeno-pancreatic lymph node
33. Anterior duodeno-pancreatic lymph nodes (Nodi pancreatoduodenales anteriores)
34. Residual lymphatic system (short bowel syndrome type 2)
C. Cardiac Lymphatic Network:
9. Innominant angle lymph node
10. Right anterior mediastinal chain
11. Left anterior mediastinal chain
12. Pre-aortic lymph node
13. Dorso-pulmonary lymph node
14. Lateral pulmonary lymph node
15. Right main collector
16. Left main collector
17. Serous pericardium
18. Fibrous pericardium
19. Pericardial space
20. Broviac®:
e. Beveled and multi-perforated tip
f. Retraction movement
g. Release of contents into the pericardial sac
E. Analytical Questions:
35. Redon (drainage system)
36. Subxiphoid approach
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