Massive Pericardial Effusion with Cardiac Tamponade Secundary to Cholesterol Pericarditis

Raya, A. González; Oyonarte, Cristóbal Avivar; Bellido, Pilar Benayas

doi:10.7754/clin.lab.2011.110718

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 6 ] Many studies have shown that patients who suffered CP presented with dyspnea, chest pain, dizziness, fatigue, or shortness of breath. [ 7 – 9 ] However, our patient had no symptoms above. Rheumatoid arthritis has been suspected to be associated with CP.…”

Section: Discussionmentioning

confidence: 68%

Cholesterol pericarditis associated with rheumatoid arthritis

Qian¹,

Pang²,

Che³

et al. 2016

Medicine

View full text Add to dashboard Cite

Background:Cholesterol pericarditis (CP) is a special type of pericarditis. It is characterized by chronic pericardial effusion with high cholesterol concentration and with or without the formation of crystals in pericardial effusion.Methods:In this case report, we described a 74-year-old male with massive pericardial effusion. He presented with no symptoms. However, he had 8-year history of rheumatoid arthritis medicated with methotrexate, celecoxib, and prednisone, and 5-year history of hypertension medicated with amlodipine besylate. On admission, transthoracic echocardiography revealed a large pericardial effusion.Results:We performed pericardiocentesis for this patient and a lot of cholesterol crystals were found in pericardial effusion under the microscope. A successful operation of thoracoscopic pericardiectomy was proceeded, and the diagnosis was confirmed by surgical pathology. The patient was well recovered and discharged on the tenth day after surgery. It could be predicted that pericardiectomy under video-assisted thoracoscope could be a promising therapy for CP.Conclusion:Rheumatoid arthritis may cause CP with no symptoms. Pericardiectomy could be a promising therapy for CP.

show abstract

Section: Discussionmentioning

confidence: 68%

Cholesterol pericarditis associated with rheumatoid arthritis

Qian¹,

Pang²,

Che³

et al. 2016

Medicine

View full text Add to dashboard Cite

show abstract

“…As seen in our case, prompt pericardiocentesis is required in cases of clinical tamponade but seldom the definitive management with effusions often reaccumulating. 4 , 8 …”

Section: Discussionmentioning

confidence: 99%

Effusive-constrictive cholesterol pericarditis: a case report

Shergill

Davies

Cairns

2020

European Heart Journal - Case Reports

View full text Add to dashboard Cite

Background Cholesterol pericarditis (CP) remains a rare pericardial disease characterized by chronic pericardial effusions with high cholesterol concentrations with or without the formation of cholesterol crystals. Effusions are often large and can cause ventricular compression and subsequent pericardial adhesion formation. CP can be idiopathic but has associations with rheumatoid arthritis (RA), tuberculosis and hypothyroidism. Case summary We present a case of a 72-year-old male with a background of seropositive RA with a finding of an incidental pericardial effusion on computed tomography thorax abdomen and pelvis. Transthoracic echocardiogram demonstrated a large effusion with echocardiographic features of tamponade. On review, he was breathless with a raised venous pressure, bilateral ankle oedema, and pulsus paradoxus was present. Pericardial drainage was performed with fluid analysis demonstrating a cholesterol concentration of 8.3 mmol/L and numerous cholesterol crystal formation. Interval imaging demonstrated recurrence of the effusion with pericardial thickening and progressive constriction. He remained asymptomatic and underwent a successful pericardial window. At present, he is under close clinical outpatient surveillance with symptoms guiding a future pericardiectomy if warranted. Discussion CP can present as an emergent situation with signs and symptoms of acute heart failure with prompt pericardiocentesis required in cases of clinical tamponade. However, the disease course is often one of chronicity with relapsing large effusions that tend to recur following drainage, with the development of pericardial constriction necessitating pericardiectomy for definitive management.

show abstract

Massive Pericardial Effusion with Cardiac Tamponade Secundary to Cholesterol Pericarditis

Cited by 2 publications

References 0 publications

Cholesterol pericarditis associated with rheumatoid arthritis

Cholesterol pericarditis associated with rheumatoid arthritis

Effusive-constrictive cholesterol pericarditis: a case report

Contact Info

Product

Resources

About