Open AccessAn uncommon case of spontaneous hemopericardium in a patient treated with rivaroxaban
Author(s) -
Anna Ioppolo,
Luca Longobardo,
Salvatore D’Isa,
Paola De Gregorio,
Mariella Manfredi,
Nicoletta B. De Cesare
Publication year - 2019
Publication title -
journal of cardiovascular echography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 8
eISSN - 2347-193X
pISSN - 2211-4122
DOI - 10.4103/jcecho.jcecho_57_19
Subject(s) - hemopericardium , medicine , rivaroxaban , pericardial effusion , surgery , cardiology , cardiac tamponade , atrial fibrillation , warfarin
We describe a case of an 88-year-old woman with a severe bluntly ematic pericardial effusion. Radiological and laboratory examinations excluded all the most common causes of hemopericardium, and the diagnosis of spontaneous hemopericardium associated with the treatment with rivaroxaban was made. This is the first case report describing a hemopericardium in a patient treated with rivaroxaban who did not take other herbal products or drugs that may significantly increase rivaroxaban blood levels. This report emphasizes the need for the careful use of new oral anticoagulants, and the importance of taking in mind uncommon side effects. Spontaneous hemopericardium should be considered in these patients.