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[Calcific constrictive pericarditis of anginal form complicated by hemopericardium and tamponade during anticoagulant
Insights
This case report highlights a rare complication of constrictive pericarditis where anticoagulant therapy led to cardiac tamponade. Prompt pericardectomy and hemopericardium management resulted in significant patient improvement.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Constrictive pericarditis is a condition characterized by impaired cardiac filling due to pericardial thickening and calcification.
- Anticoagulant therapy is sometimes prescribed for patients with constrictive pericarditis, though its risks are not fully elucidated.
Observation:
- A patient with calcified constrictive epicardopericarditis experienced rapid deterioration following a digestive hemorrhage.
- This exacerbation was linked to excessive oral anticoagulant therapy, leading to cardiac tamponade and partitioned hemopericardium.
Findings:
- Pericardectomy was performed, revealing hemopericardium, and resulted in marked improvement of constrictive symptoms and angina pectoris.
- Anticoagulant therapy was identified as the likely cause of the hemopericardium, a rare occurrence in constrictive pericarditis.
Implications:
- This case underscores the potential dangers of anticoagulant therapy in specific constrictive pericarditis cases.
- It highlights diagnostic and therapeutic challenges and the importance of considering anticoagulant-induced hemopericardium.
Abstract:
The case-history of a patient with calcified constrictive epicardopericarditis with rapidely progressive aggravation after digestive hemorrage due to excessive dose or oral anticoagulant therapy is reported. The occurrence of a cardiac tamponade has necessitated pericardectomy which has permitted to detect a partitionned hemopericardium. The surgical act was followed by gross improvement of both constrictive phenomenon and angina pectoris which have grounded the prescription of anticoagulant therapy. Anticoagulant therapy is likely responsible of the hemopericardium. Such facts are exceptionals in the course of constrictive pericarditis; diagnostic and therapeutic problems related to this complication are studied. The question of angina pectoris in the course of acute and chronic pericarditis is briefly studied by the way of this observation. Attention is drawed on the danger of the prescription of anticoagulant therapy in the course of some constrictive pericarditides.