Cargando…

Cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report

BACKGROUND: Pericardial effusion is observed in the majority of viral pericarditis cases; however, viral pericarditis accompanied by a large effusion resulting in cardiac tamponade is rare. CASE PRESENTATION: Here, we report the case of a 75-year-old hemodialysis patient with acute viral pericarditi...

Descripción completa

Detalles Bibliográficos
Autores principales: Hamasaki, Azumi, Uchida, Tetsuro, Yamashita, Atsushi, Akabane, Kentaro, Sadahiro, Mitsuaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283806/
https://www.ncbi.nlm.nih.gov/pubmed/30523492
http://dx.doi.org/10.1186/s40792-018-0550-0
_version_ 1783379221456879616
author Hamasaki, Azumi
Uchida, Tetsuro
Yamashita, Atsushi
Akabane, Kentaro
Sadahiro, Mitsuaki
author_facet Hamasaki, Azumi
Uchida, Tetsuro
Yamashita, Atsushi
Akabane, Kentaro
Sadahiro, Mitsuaki
author_sort Hamasaki, Azumi
collection PubMed
description BACKGROUND: Pericardial effusion is observed in the majority of viral pericarditis cases; however, viral pericarditis accompanied by a large effusion resulting in cardiac tamponade is rare. CASE PRESENTATION: Here, we report the case of a 75-year-old hemodialysis patient with acute viral pericarditis complicated by aortic stenosis. The patient was referred with a diagnosis of aortic stenosis and pericardial effusion. The pericardial effusion had increased during the preoperative examinations, and the inflammatory reaction had progressed. We decided to abort the surgical intervention and start oral administration of anti-inflammatory agents. We subsequently performed a pericardiocentesis. High antibody titers to coxsackievirus were noted in the pericardial effusion. Since no recurrence of the pericardial effusion was observed, the patient underwent an aortic valve replacement 2 months later. The pericardium completely adhered to the heart. Pathological examination of the pericardium showed fibrous pericarditis without active inflammation. CONCLUSIONS: Here, we successfully treated a hemodialysis case with severe aortic stenosis complicated by cardiac tamponade and worsened by acute viral pericarditis. We waited for the pericarditis to resolve after administering anti-inflammatory agents and performed pericardial drainage before carrying out aortic valve replacement. The perioperative course of our case was unique and suggestive.
format Online
Article
Text
id pubmed-6283806
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-62838062018-12-26 Cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report Hamasaki, Azumi Uchida, Tetsuro Yamashita, Atsushi Akabane, Kentaro Sadahiro, Mitsuaki Surg Case Rep Case Report BACKGROUND: Pericardial effusion is observed in the majority of viral pericarditis cases; however, viral pericarditis accompanied by a large effusion resulting in cardiac tamponade is rare. CASE PRESENTATION: Here, we report the case of a 75-year-old hemodialysis patient with acute viral pericarditis complicated by aortic stenosis. The patient was referred with a diagnosis of aortic stenosis and pericardial effusion. The pericardial effusion had increased during the preoperative examinations, and the inflammatory reaction had progressed. We decided to abort the surgical intervention and start oral administration of anti-inflammatory agents. We subsequently performed a pericardiocentesis. High antibody titers to coxsackievirus were noted in the pericardial effusion. Since no recurrence of the pericardial effusion was observed, the patient underwent an aortic valve replacement 2 months later. The pericardium completely adhered to the heart. Pathological examination of the pericardium showed fibrous pericarditis without active inflammation. CONCLUSIONS: Here, we successfully treated a hemodialysis case with severe aortic stenosis complicated by cardiac tamponade and worsened by acute viral pericarditis. We waited for the pericarditis to resolve after administering anti-inflammatory agents and performed pericardial drainage before carrying out aortic valve replacement. The perioperative course of our case was unique and suggestive. Springer Berlin Heidelberg 2018-12-06 /pmc/articles/PMC6283806/ /pubmed/30523492 http://dx.doi.org/10.1186/s40792-018-0550-0 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Hamasaki, Azumi
Uchida, Tetsuro
Yamashita, Atsushi
Akabane, Kentaro
Sadahiro, Mitsuaki
Cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report
title Cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report
title_full Cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report
title_fullStr Cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report
title_full_unstemmed Cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report
title_short Cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report
title_sort cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283806/
https://www.ncbi.nlm.nih.gov/pubmed/30523492
http://dx.doi.org/10.1186/s40792-018-0550-0
work_keys_str_mv AT hamasakiazumi cardiactamponadecausedbyacutecoxsackievirusinfectionrelatedpericarditiscomplicatedbyaorticstenosisinahemodialysispatientacasereport
AT uchidatetsuro cardiactamponadecausedbyacutecoxsackievirusinfectionrelatedpericarditiscomplicatedbyaorticstenosisinahemodialysispatientacasereport
AT yamashitaatsushi cardiactamponadecausedbyacutecoxsackievirusinfectionrelatedpericarditiscomplicatedbyaorticstenosisinahemodialysispatientacasereport
AT akabanekentaro cardiactamponadecausedbyacutecoxsackievirusinfectionrelatedpericarditiscomplicatedbyaorticstenosisinahemodialysispatientacasereport
AT sadahiromitsuaki cardiactamponadecausedbyacutecoxsackievirusinfectionrelatedpericarditiscomplicatedbyaorticstenosisinahemodialysispatientacasereport