Acute Myocardial Infarction With Cardiogenic Shock Due to Pericardial Constriction and Multivessel Coronary Obstruction

Matthew F. Schaikewitz, MD; Christopher B. Nnaoma, MD; Richard D. Meredith, MD; Seth Uretsky, MD; Lawrence R. Blitz, MD; Allan L. Klein, MD; Mark S. Rosenthal, MD

JACC: Case Reports (Sep 2020)

Acute Myocardial Infarction With Cardiogenic Shock Due to Pericardial Constriction and Multivessel Coronary Obstruction

Matthew F. Schaikewitz, MD,
Christopher B. Nnaoma, MD,
Richard D. Meredith, MD,
Seth Uretsky, MD,
Lawrence R. Blitz, MD,
Allan L. Klein, MD,
Mark S. Rosenthal, MD

Affiliations

Matthew F. Schaikewitz, MD: Department of Cardiovascular Medicine, Gagnon Cardiovascular Institute, Morristown Medical Center/Atlantic Health System, Morristown, New Jersey; Address for correspondence: Dr. Matthew F. Schaikewitz, Department of Cardiovascular Medicine, Gagnon Administration, Davino B, Morristown Medical Center/Atlantic Health System, 100 Madison Avenue, Morristown, New Jersey 07960.
Christopher B. Nnaoma, MD: Department of Internal Medicine, Newark Beth Israel Medical Center, Newark, New Jersey
Richard D. Meredith, MD: Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio
Seth Uretsky, MD: Department of Cardiovascular Medicine, Gagnon Cardiovascular Institute, Morristown Medical Center/Atlantic Health System, Morristown, New Jersey
Lawrence R. Blitz, MD: Department of Cardiovascular Medicine, Gagnon Cardiovascular Institute, Morristown Medical Center/Atlantic Health System, Morristown, New Jersey
Allan L. Klein, MD: Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio
Mark S. Rosenthal, MD: Department of Cardiovascular Medicine, Gagnon Cardiovascular Institute, Morristown Medical Center/Atlantic Health System, Morristown, New Jersey

Journal volume & issue: Vol. 2, no. 11
pp. 1708 – 1712

Abstract

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We present a rare case of cardiogenic shock and multivessel coronary compression due to focal pericardial inflammation and constriction. The patient was treated in the acute phase with coronary stenting and temporary mechanical support. Multimodality imaging was essential in elucidating the diagnosis. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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