Nawaf Alhabdan MD , Rafey Feroze MD , Marco Frazzetto MD , Nour Tashtish MD , Luis Augusto Palma Dallan MD, PhD , Steven J. Filby MD
{"title":"Very delayed hemorrhagic pericardial effusion following percutaneous left atrial appendage occlusion","authors":"Nawaf Alhabdan MD , Rafey Feroze MD , Marco Frazzetto MD , Nour Tashtish MD , Luis Augusto Palma Dallan MD, PhD , Steven J. Filby MD","doi":"10.1016/j.jccase.2025.05.002","DOIUrl":null,"url":null,"abstract":"<div><div>Pericardial effusion is a serious complication following percutaneous left atrial appendage occlusion and is associated with adverse outcomes. While acute effusions occur from procedure associated macro-perforations, delayed effusions are less well understood. Reported here is a case of a hemorrhagic pericardial effusion presenting almost 6 months following left atrial appendage occlusion and successfully treated with corticosteroids.</div></div><div><h3>Learning objective</h3><div>Delayed pericardial effusions following left atrial appendage occlusion occur due to microperforations. These pericardial effusions can cause hemopericardium and pericardial inflammation. Anti-inflammatory therapy may promote resolution and prevent adverse sequalae.</div></div>","PeriodicalId":52092,"journal":{"name":"Journal of Cardiology Cases","volume":"32 2","pages":"Pages 75-78"},"PeriodicalIF":0.0000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cardiology Cases","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878540925000416","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Pericardial effusion is a serious complication following percutaneous left atrial appendage occlusion and is associated with adverse outcomes. While acute effusions occur from procedure associated macro-perforations, delayed effusions are less well understood. Reported here is a case of a hemorrhagic pericardial effusion presenting almost 6 months following left atrial appendage occlusion and successfully treated with corticosteroids.
Learning objective
Delayed pericardial effusions following left atrial appendage occlusion occur due to microperforations. These pericardial effusions can cause hemopericardium and pericardial inflammation. Anti-inflammatory therapy may promote resolution and prevent adverse sequalae.