CASE REPORT   

Gazzetta Medica Italiana - Archivio per le Scienze Mediche 2019 October;178(10):834-7

DOI: 10.23736/S0393-3660.19.03855-5

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Post-traumatic pericarditis mimicking hemopericardium after endomyocardial biopsy in a patient with Fabry disease

Chia-Yuan CHANG ¹, Pi-Chang LEE ^{2, 3}, Dau-Ming NIU ^{3, 4, 5, 6}, Hsing-Yuan LI ^{2, 7} ✉

¹ Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan; ² Division of Pediatric Cardiology, Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan; ³ Department of Pediatrics, National Yang-Ming University School of Medicine, Taipei, Taiwan; ⁴ Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan; ⁵ Taiwan Clinical Trial Consortium in Fabry Disease, Taipei, Taiwan; ⁶ Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan; ⁷ Department of Biological Science and Technology, National Chiao Tung University, Hsinchu, Taiwan

Post-traumatic pericarditis (PTP) is an autoimmune syndrome that infrequently occurs following minimally invasive procedures performed via cardiac catheterization. When chest pain and pericardial effusion present after endomyocardial biopsy (EMB), the most frequently encountered problem is cardiac perforation. However, the aforementioned symptoms combined with fever challenges the diagnosis of hemopericardium and should shift the diagnosis towards PTP. In conclusion, we present a case of early onset PTP occurring after EMB in a patient with Fabry disease.

KEY WORDS: Pericarditis; Fabry disease; Cardiac catheterization