Direct Lymphangiography-Guided Cervical Thoracic Duct Exploration: Advancing Management of Primary Chylopericardium through Reflux Pattern Stratification and Long-Term Outcomes
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Direct Lymphangiography-Guided Cervical Thoracic Duct Exploration: Advancing Management of Primary Chylopericardium through Reflux Pattern Stratification and Long-Term Outcomes

This study characterizes abnormal lymphatic reflux patterns in primary chylopericardium using direct lymphangiography and demonstrates that guided cervical thoracic duct exploration yields a 66% long-term success rate, with specific reflux types and absence of compensatory drainage predicting better outcomes.