Right Heart Failure With Recurrent Pericardial Effusion Mimicking Effusive-Constrictive Pericarditis Several Years After Renal Transplantation

Pericardial disease is a rare complication after renal transplantation. We present a patient who developed high-output cardiac failure from a large arteriovenous (AV) fistula with recurrent pericardial effusion resulting in a constrictive hemodynamic pattern that was revealed during cardiac catheter...

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Bibliographic Details
Published inJIM - high impact case reports Vol. 10; p. 23247096221111765
Main Authors Cordova Sanchez, Andres, Vasigh, Mostafa, Singh, Ravi, May, Adriana, Marvasti, Mehdi, Pada Mookherjee, Sakti
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 2022
Sage Publications Ltd
SAGE Publishing
Subjects
Case Report
Case reports
Heart failure
Kidney transplants
Pericarditis
Pleural effusion
constrictive pericarditis
heart failure
pericardial effusion
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Summary:Pericardial disease is a rare complication after renal transplantation. We present a patient who developed high-output cardiac failure from a large arteriovenous (AV) fistula with recurrent pericardial effusion resulting in a constrictive hemodynamic pattern that was revealed during cardiac catheterization. Pericardiectomy was considered for recurrent effusive pericarditis, but per cardiac surgery recommendations, closure of the AV fistula dramatically cured the patient’s heart failure, and no recurrence of pericardial effusion was seen during follow-up almost a year later.
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ISSN:2324-7096
2324-7096
DOI:10.1177/23247096221111765