COVID-19-Related Pericarditis with Pericardial Clotting as a Hallmark: Two Cases and a Review

Vito Maurizio Parato; Camilla Notaristefani; Simone D'Agostino; Vittorio D'Emilio; Sara Colella; Madhavi Kadiyala; Silvia Pierantozzi; Tiziana Principi

doi:10.4103/jcecho.jcecho_124_20

COVID-19-Related Pericarditis with Pericardial Clotting as a Hallmark: Two Cases and a Review

J Cardiovasc Echogr. 2021 Jan-Mar;31(1):1-5. doi: 10.4103/jcecho.jcecho_124_20. Epub 2021 May 21.

Authors

Vito Maurizio Parato¹, Camilla Notaristefani¹, Simone D'Agostino¹, Vittorio D'Emilio², Sara Colella², Madhavi Kadiyala³, Silvia Pierantozzi⁴, Tiziana Principi⁴

Affiliations

¹ Emergency Department, Cardiology Unit, ASUR Marche-AV5, Madonna del Soccorso Hospital, San Benedetto del Tronto, Italy.
² Pulmonology Unit, ASUR Marche-AV5, Mazzoni Hospital, Ascoli Piceno, Italy.
³ School of Medicine, The Heart and Vascular Institute, West Virginia University, Morgantown, WV, USA.
⁴ Intensive Care Unit, ASUR Marche-AV5, Madonna del Soccorso Hospital, Morgantown, WV, USA.

Abstract

The prevalence of pericardial effusion and its clinical significance is not well understood in COVID-19 patients. We report two cases of COVID-19-related pericardial effusion complicated by intrapericardial clot formation. The final outcome was favorable, but intrapericardial clot remained mostly unchanged at 6-month follow-up. The treatment approach and the long-term consequences are still unclear. We propose a review of this particular cardiovascular complication in COVID-19 patients.

Keywords: Cardiovascular complications; Covid-19; echocardiography.

Publication types

Review