A Complicated Case of Transient Constrictive Pericarditis Secondary to Rivaroxaban-Associated Hemopericardium

Vardhmaan Jain, MD; Ossama K. Abou Hassan, MD; Michael Chetrit, MD; Agam Bansal, MD; Mohamed M. Gad, MD; Nicholas Kassis, MD; Allan L. Klein, MD

JACC: Case Reports (Oct 2020)

A Complicated Case of Transient Constrictive Pericarditis Secondary to Rivaroxaban-Associated Hemopericardium

Vardhmaan Jain, MD,
Ossama K. Abou Hassan, MD,
Michael Chetrit, MD,
Agam Bansal, MD,
Mohamed M. Gad, MD,
Nicholas Kassis, MD,
Allan L. Klein, MD

Affiliations

Vardhmaan Jain, MD: Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio
Ossama K. Abou Hassan, MD: Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
Michael Chetrit, MD: Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
Agam Bansal, MD: Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio
Mohamed M. Gad, MD: Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio
Nicholas Kassis, MD: Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio
Allan L. Klein, MD: Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio; Address for correspondence: Dr. Allan L. Klein, Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart, Vascular and Thoracic Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio 44195.

Journal volume & issue: Vol. 2, no. 12
pp. 1947 – 1950

Abstract

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A 72-year-old man on rivaroxaban developed effusive constrictive pericarditis secondary to hemopericardium. His condition improved with anti-inflammatory therapy supporting a diagnosis of transient constrictive pericarditis. On follow-up, residual constriction developed requiring surgical pericardiectomy. Although many cases with transient constrictive pericarditis resolve with medical management, some may progress and require pericardiectomy. (Level of Difficulty: Advanced.)

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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