Our two cases of hemopericardium
demonstrate an extremely serious potential complication of combining levofloxacin and warfarin with level of evidence of 2 (a probable interaction) as per the criteria for establishing a drug or food interaction with warfarin (Table 2).
The cause of the increased cholesterol content of the pericardial fluid in these patients is not clear, but several theories have been presented: 1) that necrosis of superficial cells of the pericardia liberates intracellular cholesterol, 2) that lysis of erythrocytes following hemopericardium
yields the cholesterol, and 3) that pericardial inflammation decreases lymphatic drainage of pericardia, causing decreased reabsorption of cholesterol, with ultimate precipitation and crystallization (77).
Graft aneurysms can lead to various complications, including compression and mass effect on adjacent structures, thrombosis and embolization of the bypass graft leading to an acute coronary event, formation of fistula to the right atrium and ventricle, sudden rupture leading to hemothorax, hemopericardium
, or death.
Postcardiac injury syndrome (PCIS) also has been observed after traumatic hemopericardium
, minimally invasive coronary artery bypass surgery, percutaneous transcoronary angioplasty, percutaneous intervention, pacemaker implantation, and percutaneous radiofrequency ablation.
Because of the inherent structural complexity of the posterobasal portion of the heart, the pseudoaneurysms are associated with a risk of rupture and subsequent hemopericardium
The stab wound to the heart 40 years earlier led to a 2-day delay of hemopericardium
and an emergency cardiac operation.
All necropsied birds had hemopericardium
due to RAR at the point of the junction with the vena cava, and 85% of them had blood in the oral cavity and external acoustic meatus.
has been reported following blunt and penetrating trauma.
Key Words: hemopericardium
, penetrating chest trauma, thoracoscopic pleuropericardial window
The patient was rushed to the operating room and a large hemopericardium
was found, the source of which was a perforation in left atrial appendage.
Postmortem examination showed a hemopericardium
(500 ml) secondary to rupture of the posterior wall of the left ventricle in an area of acute infarction.
Recent data confirm that ultrasonography is useful in establishing the diagnosis of hemopericardium