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Management of a Large Pericardial Effusion in Pregnancy: A Multidisciplinary Approach
Tanya Deol1, Kai Chen2, Khadeeja Esmail2
1Department of Internal Medicine, University of Florida, Jacksonville, Florida, USA.
JACC. Case Reports
|March 11, 2024
Summary
Pericardial effusions are uncommon in pregnancy, usually being small and asymptomatic. This case highlights a large pericardial effusion in the third trimester, emphasizing crucial management strategies for labor and delivery.
Area of Science:
- Obstetrics and Gynecology
- Cardiology
- Maternal-Fetal Medicine
Background:
- Pericardial effusions are infrequently encountered during pregnancy.
- Physiological fluid shifts in pregnancy often lead to small, clinically insignificant effusions.
Observation:
- A case of a large pericardial effusion was identified in a patient during the third trimester of pregnancy.
- The effusion presented as a significant clinical finding, deviating from typical presentations.
Findings:
- The large pericardial effusion required careful consideration for management during labor and delivery.
- This case underscores the importance of recognizing and managing atypical pericardial effusions in pregnant individuals.
Implications:
- Management strategies for labor and delivery must be tailored for pregnant patients with large pericardial effusions.
- This case contributes to the understanding of rare cardiovascular complications in pregnancy.
- Highlights the need for multidisciplinary care in managing complex obstetric cases.
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