Acute pericarditis complicated by cardiac tamponade during pregnancy

A Rare Case of Obstructive Shock due to Cardiac Tamponade in a Term Pregnancy

“…Specifically, we address the timely evaluation, resuscitation, and ongoing management necessary to reduce the morbidity and mortality of this condition. Our review of the literature suggests that while asymptomatic pericardial effusions may occur in late pregnancy, there are only 13 case reports of peripartum cardiac tamponade [5][6][7][8][9][10][11][12][13][14][15][16][17] . Reported etiologies are diverse and include autoimmune, infectious, neoplastic, and iatrogenic causes, and all should be considered when encountering a similar patient presentation.…”

“…Our review of the literature suggests that while asymptomatic pericardial effusions may occur in late pregnancy, there are only 13 case reports of peripartum cardiac tamponade. 5 6 7 8 9 10 11 12 13 14 15 16 17 Reported etiologies are diverse and include autoimmune, infectious, neoplastic, and iatrogenic causes, and all should be considered when encountering a similar patient presentation. A singular case reported by Matsuki et al was presumed attributable to preeclampsia with severe features as the patient presented with severe hypertension and proteinuria and no other etiology for pericardial effusion was identified.…”

Pregnancy and Pericardial Diseases

“…Kolşisin Ailesel Akdeniz ateşi olan olgular gibi özel durumlar dışında gebelikte kullanımı sakıncalı ilaçlar kategorisinde yer alır 5,6 . Gebelikte meydana gelen akut veya tekrarlayan perikarditin tedavisine ilişkin az sayıda çalışmalar mevcuttur 20,21 . Yüksek doz asetil salisilik asidin de dahil olduğu non steroidal anti-inflamatuar ilaçların bilinen teratojenik etkileri olmayıp birinci ve ikinci trimesterde kullanılabilir.…”

Medical treatment of pericarditis during pregnancy

“…This protocol is safe [3], and in our experience it was effective in controlling the disease during pregnancy and lactation. We have read with interest Delaney and colleagues' metaanalysis of 19 randomised controlled trials evaluating the effect of levosimendan in patients with acute severe heart failure [1]. Their aim on the meta-analysis was to review the literature evaluating the effect of levosimendan compared with standard therapies or placebo on survival and haemodynamics parameters in patients with acute severe heart failure.…”

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Only rare old case reports are available on the treatment of acute and recurrent pericarditis occurring during pregnancy [1,2]. Non steroidal anti-inflammatory drugs (NSAID), including high dose aspirin, are not teratogenic and can be continued during the first and second trimester [3].

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