Gross pericardial effusion with tamponade in 2nd trimester of pregnancy

• Authors: Talay Kudaiberdiev , Gulzad Imanalieva , Gulbarchin Usupbaeva , Rahat Kalieva , Elmira Tukusheva
• Languages of publication: EN

Abstracts

EN

Hypothyroidism in pregnancy is associated with serious maternal and fetal risk. Rarely, it is manifested by life-threatening cardiac complications, such as gross pericardial effusion and tamponade. We present a case of successfully treated gross pericardial effusion and tamponade in a 22-week pregnant woman with hypothyroidism. The patient was treated by pericardial drainage with further treatment of hypothyroidism with levothyroxine. During the follow-up pregnancy was uncomplicated without recurrence of pericardial effusion and successful delivery of full-term baby. We conclude that careful monitoring of thyroid functional tests and proper management should be performed in pregnant women with hypothyroidism to prevent cardiac complications of the disease, like pericardial effusion and tamponade.

Keywords

EN

Pregnancy; Pericardial tamponade; Hypothyroidism

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2010
• Volume: 5
• Issue: 3
• Pages: 369-371

Dates

published

1 - 6 - 2010

online

9 - 4 - 2010

Contributors

author

Talay Kudaiberdiev

• Scientific Research Institute of Cardiac Surgery and Transplantation, National Center of Cardiology and Therapy, 720044, Bishkek, Kyrgyz Republic

author

Gulzad Imanalieva

• Scientific Research Institute of Cardiac Surgery and Transplantation, National Center of Cardiology and Therapy, 720044, Bishkek, Kyrgyz Republic

author

Gulbarchin Usupbaeva

• Scientific Research Institute of Cardiac Surgery and Transplantation, National Center of Cardiology and Therapy, 720044, Bishkek, Kyrgyz Republic

author

Rahat Kalieva

• Scientific Research Institute of Cardiac Surgery and Transplantation, National Center of Cardiology and Therapy, 720044, Bishkek, Kyrgyz Republic

author

Elmira Tukusheva

• Scientific Research Institute of Cardiac Surgery and Transplantation, National Center of Cardiology and Therapy, 720044, Bishkek, Kyrgyz Republic

References

• [1] Glinoer D, Abalovich M. Unresolved questions in managing hypothyroidism during pregnancy. BMJ 2007; 335: 300–302 http://dx.doi.org/10.1136/bmj.39189.513935.BE[WoS][Crossref]
• [2] Bakimer R, Cohen JR, Shoenfeld Y. What really happens to fecundity in autoimmune diseases? Immunol Allergy Clin North Am 1994; 14:701–723
• [3] Pop VJ, Kuijpens JL, van Baar AL, Verkerk G, van Son MM, de Vijlder JJ, Vulsma T, et al. Low maternal free thyroxine concentrations during early pregnancy are associated with impaired psychomotor development in infancy. Clin Endocrinol (Oxf) 1999; 50: 149–155 http://dx.doi.org/10.1046/j.1365-2265.1999.00639.x[Crossref]
• [4] Spodick DH. Pericardial diseases. In: Braunwald E, Zippes DP, Libby P, editors. Heart disease. 6th ed. Philadelphia, London, Toronto, Montreal, Sydney, Tokyo: W.B. Saunders; 2001. p. 1823–1876
• [5] Ristić AD, Seferović PM, Ljubić A, Jovanović I, Ristić G, Pankuweit S, et al. Pericardial disease in pregnancy. Herz 2003; 28: 209–215 http://dx.doi.org/10.1007/s00059-003-2470-3[Crossref]
• [6] Lania A, Persani L, Beck-Peccoz P. Central hypothyroidism. Pituitary 2008; 11: 181–186 http://dx.doi.org/10.1007/s11102-008-0122-6[Crossref][WoS]
• [7] Allali F, Alami M, Doghmi N, Mohatane A, Benomar M, Hajjaj-Hassouni N. Scleroderma complicated with tamponade during pregnancy. Joint Bone Spine 2005; 72: 341–343 http://dx.doi.org/10.1016/j.jbspin.2004.10.005[Crossref]
• [8] Azimi NA, Selter JG, Abott JD, Cabin HS, Hutner A, Copel J, Setaro JF. Angiosarcoma in a pregnant woman presenting with pericardial tamponade-a case report and review of the literature. Angiology 2006; 57: 251–257 http://dx.doi.org/10.1177/000331970605700219[Crossref]
• [9] Byhahn C, Bingold TM, Zwissler B, Maier M, Walcher F. Prehospital ultrasound detects pericardial tamponade in a pregnant victim of stabbing assault. Resuscitation 2008; 76: 146–148 http://dx.doi.org/10.1016/j.resuscitation.2007.07.020[WoS][Crossref]
• [10] Alexander EK, Marqusee E, Lawrence J, Jarolim P, Fischer GA, Larsen PR. Timing and magnitude of increases in levothyroxine requirements during pregnancy in women with hypothyroidism. N Engl J Med 2004; 351: 241–249 http://dx.doi.org/10.1056/NEJMoa040079[Crossref]

Identifiers

DOI

10.2478/s11536-009-0060-3