An Uncommon Case of Spontaneous Hemopericardium in a Patient Treated with Rivaroxaban

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. Thi...

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Bibliographic Details
Published in:Journal of cardiovascular echography 2019-10, Vol.29 (4), p.180-182
Main Authors: Ioppolo, Anna Maria, Longobardo, Luca, D’Isa, Salvatore, De Gregorio, Paola, Manfredi, Mariella, De Cesare, Nicoletta Bianca
Format: Article
Language:English
Subjects:
Case Report
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Summary: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.
ISSN:2211-4122
2347-193X
DOI:10.4103/jcecho.jcecho_57_19