Pericarditis associated with nickel hypersensitivity to the Amplatzer occluder device: a case report.
A 38-year-old man with a history of migraine headaches with aura and one episode of ischemic stroke was found to have a patent foramen ovale (PFO). After percutaneous closure with the nickel-containing Amplatzer PFO occluder, the patient developed pericarditis, atrial fibrillation, and increased migraine headaches with aura that abated with oral prednisone. He tested positive for nickel hypersensitivity, which we conclude is the likely etiology of his pericarditis.
Lai
Dominic W
DW
Department of Medicine, Division of Cardiology, David Geffen School of Medicine, University of California, Los Angeles, California, USA.
Saver
Jeffrey L
JL
Araujo
Jesus A
JA
Reidl
Marc
M
Tobis
Jonathan
J
D000328:Adult; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation*; D017548:Echocardiography, Transesophageal; D005938:Glucocorticoids / Q000627:therapeutic use; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D006967:Hypersensitivity / Q000150:complications*; D008297:Male; D008881:Migraine Disorders / Q000188:drug therapy / Q000209:etiology; D009532:Nickel / Q000009:adverse effects*; D010493:Pericarditis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D011239:Prednisolone / Q000627:therapeutic use; D019736:Prostheses and Implants / Q000009:adverse effects*; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*
D005938:Glucocorticoids; D009532:Nickel; D011239:Prednisolone