title: Evans syndrome with non-ST segment elevation myocardial infarction complicated by hemopericardium.
abstract: Evans syndrome (ES) is a rare hematological disease characterized by autoimmune hemolytic anemia, immune thrombocytopenia, and/or neutropenia, all of which may be seen simultaneously or subsequently. Thrombotic events in ES are uncommon. Furthermore, non-ST segment-elevation myocardial infarction (NSTEMI) during ES is a very rare condition. Here, we describe a case of a 69-year-old female patient presenting with NSTEMI and ES. Revascularization via percutaneous coronary intervention (PCI) was scheduled and performed. Hemopericardium and cardiac tamponade occurred 5h after PCI, and urgent pericardiocentesis was performed. Follow-up was uneventful, and the patient was safely discharged. Early recognition and appropriate management of NSTEMI is crucial to prevent morbidity and mortality. Coexistence of NSTEMI and ES, which is associated with increased bleeding risk, is a challenging scenario and these patients should be closely monitored in order to achieve early recognition and treatment of complications.
authors.affiliation: Medipol University Faculty of Medicine, Cardiology Department, Istanbul, Turkey. Electronic address: filizkizilirmak@hotmail.com.
authors.forename: Filiz
authors.initials: F
authors.lastname: Kizilirmak
authors.affiliation: Medipol University Faculty of Medicine, Cardiology Department, Istanbul, Turkey.
authors.forename: Gultekin Gunhan
authors.initials: GG
authors.lastname: Demir
authors.affiliation: Medipol University Faculty of Medicine, Cardiology Department, Istanbul, Turkey.
authors.forename: Beytullah
authors.initials: B
authors.lastname: Cakal
authors.affiliation: Medipol University Faculty of Medicine, Hematology Department, Istanbul, Turkey.
authors.forename: Hüseyin Saffet
authors.initials: HS
authors.lastname: Bekoz
authors.affiliation: Medipol University Faculty of Medicine, Cardiology Department, Istanbul, Turkey.
authors.forename: Fatih Erkam
authors.initials: FE
authors.lastname: Olgun
mesh_terms: D000368:Aged; D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications* / Q000175:diagnosis; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D000072658:Non-ST Elevated Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology*; D013921:Thrombocytopenia / Q000150:complications* / Q000175:diagnosis
keywords: Evans syndrome; Hemopericardium; Myocardial infarction