Fatal cerebral thrombosis after pericardiectomy

Fatal cerebral thrombosis after pericardiectomy

Pericardium, Arrhythmias, Thrombosis

Abstract
Background Pericardiectomy due to constrictive pericarditis is usually safe procedure. There was a rare event of
thrombosis after pericardiectomy, which was mainly accounted by low-cardiac-output syndrome.
Case presentation Here, we report the case undergoing pericardiectomy after constrictive pericarditis, with fatal
cerebral thrombosis after pericardiectomy confirmed by endovascular mechanical thrombectomy. Even though
recanalization was completed and suggestive decompressive craniectomy was in preparation, the patient still died
for cerebral hernia due to severe edema. The causes of cerebral thrombosis after pericardiectomy in this case was
accounted by the persistence of nonpliable pericardium encasing the left ventricular wall limited local myocardium
motor, pro-coagulable state due to thermal transmission during decortication like radiofrequency ablation under the
condition of postoperative atrial fibrillation and rapid ventricular rates precipitated the information of mural thrombus
in cardiac cavity and migration into the main branch of the aortic arch.
Conclusion The protocol of prompt aggressive anticoagulation prophylaxis would be vigilantly recommended for
the patients undergoing pericardiectomy.
Keywords Pericardium, Arrhythmias, Thrombosis

Qin Jiang1*, Tao Yu1

, Keli Huang1

, Bing Huang2

, Xiang Huang3

and Shengshou Hu4

https://doi.org/10.1186/s12245-024-00729-8

2024

Peri Irawan

pdf

english

text