Massive hemopericardium due to overanticoagulation in a patient with mechanical valve prothesis: Case Report

Background: Massive pericardial effusion represents less than 2% of cardiac surgery complications. Case Report: Male, 31 years old, with mechanical mitral valve, who were readmitted three weeks after cardiac surgery, due to massive hemopericardium and INR of 6,23. He underwent the pericardial window...

Descripción completa

Detalles Bibliográficos
Autor: Custodio-Marroquín, Jesús Alonso
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Perú
Institución:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Repositorio:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Idioma:español
OAI Identifier:oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/1077
Acceso en línea:https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1077
Access Level:acceso abierto
Palabra clave:Cirugía cardíaca
válvula mecánica
derrame pericárdico
anticoagulación
warfarina
Cardiac surgery
Mechanical valve
pericardial effusion
anticoagulation
warfarin
Descripción
Sumario:Background: Massive pericardial effusion represents less than 2% of cardiac surgery complications. Case Report: Male, 31 years old, with mechanical mitral valve, who were readmitted three weeks after cardiac surgery, due to massive hemopericardium and INR of 6,23. He underwent the pericardial window through the left mini-thoracotomy, draining 1500ml. Conclusions: It is necessary a systematic monitoring to maintain desired anticoagulation values and to identify possible complications early.