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CASE REPORT
Year : 2019  |  Volume : 29  |  Issue : 4  |  Page : 180-182

An uncommon case of spontaneous hemopericardium in a patient treated with rivaroxaban


1 Department of Clinical and Experimental Medicine, Section of Cardiology, Policlinico San Marco, Corso Europa, Zingonia BG, Messina, Italy
2 Department of Clinical and Experimental Medicine - Section of Cardiology, University of Messina, Policlinico G. Martino, Messina, Italy

Correspondence Address:
Luca Longobardo
Department of Clinical and Experimental Medicine - Section of Cardiology, University of Messina, Policlinico G. Martino, Via Consolare, Valeria No. 12, 98100, Messina
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcecho.jcecho_57_19

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We describe a case of an 88-year-old woman with a severe bluntly ematic pericardial effusion. Radiological and laboratory examinations excluded all the most common causes of hemopericardium, and the diagnosis of spontaneous hemopericardium associated with the treatment with rivaroxaban was made. This is the first case report describing a hemopericardium in a patient treated with rivaroxaban who did not take other herbal products or drugs that may significantly increase rivaroxaban blood levels. This report emphasizes the need for the careful use of new oral anticoagulants, and the importance of taking in mind uncommon side effects. Spontaneous hemopericardium should be considered in these patients.


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