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

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 pericardie...

Full description

Bibliographic Details
Main Authors: 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
Format: Article
Language:English
Published: Elsevier 2020-10-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084920308949
_version_ 1818821291826741248
author 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
author_facet 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
author_sort Vardhmaan Jain, MD
collection DOAJ
description 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.)
first_indexed 2024-12-18T23:05:52Z
format Article
id doaj.art-64795be918094d42ac14629838282f30
institution Directory Open Access Journal
issn 2666-0849
language English
last_indexed 2024-12-18T23:05:52Z
publishDate 2020-10-01
publisher Elsevier
record_format Article
series JACC: Case Reports
spelling doaj.art-64795be918094d42ac14629838282f302022-12-21T20:48:25ZengElsevierJACC: Case Reports2666-08492020-10-0121219471950A Complicated Case of Transient Constrictive Pericarditis Secondary to Rivaroxaban-Associated HemopericardiumVardhmaan Jain, MD0Ossama K. Abou Hassan, MD1Michael Chetrit, MD2Agam Bansal, MD3Mohamed M. Gad, MD4Nicholas Kassis, MD5Allan L. Klein, MD6Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OhioCenter 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, OhioCenter 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, OhioDepartment of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OhioDepartment of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OhioDepartment of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OhioCenter 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.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.)http://www.sciencedirect.com/science/article/pii/S2666084920308949cardiac magnetic resonance imagingeffusive constrictive pericarditishemopericardiumpericarditisrecurrencetransient constrictive pericarditis
spellingShingle 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
A Complicated Case of Transient Constrictive Pericarditis Secondary to Rivaroxaban-Associated Hemopericardium
JACC: Case Reports
cardiac magnetic resonance imaging
effusive constrictive pericarditis
hemopericardium
pericarditis
recurrence
transient constrictive pericarditis
title A Complicated Case of Transient Constrictive Pericarditis Secondary to Rivaroxaban-Associated Hemopericardium
title_full A Complicated Case of Transient Constrictive Pericarditis Secondary to Rivaroxaban-Associated Hemopericardium
title_fullStr A Complicated Case of Transient Constrictive Pericarditis Secondary to Rivaroxaban-Associated Hemopericardium
title_full_unstemmed A Complicated Case of Transient Constrictive Pericarditis Secondary to Rivaroxaban-Associated Hemopericardium
title_short A Complicated Case of Transient Constrictive Pericarditis Secondary to Rivaroxaban-Associated Hemopericardium
title_sort complicated case of transient constrictive pericarditis secondary to rivaroxaban associated hemopericardium
topic cardiac magnetic resonance imaging
effusive constrictive pericarditis
hemopericardium
pericarditis
recurrence
transient constrictive pericarditis
url http://www.sciencedirect.com/science/article/pii/S2666084920308949
work_keys_str_mv AT vardhmaanjainmd acomplicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT ossamakabouhassanmd acomplicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT michaelchetritmd acomplicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT agambansalmd acomplicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT mohamedmgadmd acomplicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT nicholaskassismd acomplicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT allanlkleinmd acomplicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT vardhmaanjainmd complicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT ossamakabouhassanmd complicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT michaelchetritmd complicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT agambansalmd complicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT mohamedmgadmd complicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT nicholaskassismd complicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium
AT allanlkleinmd complicatedcaseoftransientconstrictivepericarditissecondarytorivaroxabanassociatedhemopericardium