Key result
Pericardiostomy and anti-thyroid medications successfully resolved a massive pericardial effusion in a pregnant woman with Graves' disease.
Case Report (n=1)
Highlights a rare case of massive pericardial effusion as a complication of Graves' disease in pregnancy, successfully managed with pericardiostomy and anti-thyroid therapy.
Supports pericardiostomy plus antithyroid therapy for massive effusion in Graves' pregnancy; hypothesis-generating and requires prospective confirmation.
Pericardial effusion is a rare complication of Graves’ disease. A pregnant Filipino woman with diffuse goiter and hyperthyroid symptoms was initially treated as a case of Graves’ disease. She was readmitted for exertional dyspnea, orthopnea, and bipedal edema; an echocardiogram revealed a massive pericardial effusion. Workup for other causes of the effusion was unremarkable. The pericardial effusion resolved after pericardiostomy and anti-thyroid medications. This highlights the clinician’s role in determining the association between the two disease entities.
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Yu et al. (2015) conducted a case report in Graves' disease with pericardial effusion (n=1). Pericardiostomy and anti-thyroid medications was evaluated on Resolution of pericardial effusion. Pericardiostomy and anti-thyroid medications successfully resolved a massive pericardial effusion in a pregnant woman with Graves' disease.
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