Pericardial decompression syndrome in a patient with hypothyroidism presenting as massive pericardial effusion: a case report and review of related literature.
The authors present a case of a 44-year-old female with unrecognised hypothyroidism consulting for heart failure symptoms. Echocardiogram revealed massive pericardial effusion with tamponade physiology, attributed to primary hypothyroidism from a previous thyroidectomy. Levothyroxine was started at a dose of 0.7 ug/kg/day followed by subxiphoid pericardiostomy. 9 h postpericardiostomy however, hypotension developed and despite hydration and inotropic support, patient succumbed to cardiogenic shock on the 14th hospital day.
Department of Medicine, Section of Endocrinology, Diabetes and Metabolism, UP-Philippine General Hospital, Manila, Philippines. limsue888@yahoo.com
Aveline Sue Ann Lim
AS
Lim
Elizabeth
E
Paz-Pacheco
Michael
M
Reyes
Felix
F
Punzalan
D000328:Adult; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D006042:Goiter / Q000601:surgery; D006801:Humans; D007037:Hypothyroidism / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010491:Pericardial Window Techniques; D013902:Radiography, Thoracic; D013577:Syndrome; D013960:Thyroid Function Tests; D013965:Thyroidectomy