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Hemorrhagic Pericardial Effusion and Gastrointestinal Bleed After Atrial Fibrillation Epicardial Ablation: A Case Report

Year: 2025

Type: article

Abstract: A 47-year-old male with persistent atrial fibrillation presented with melena and presyncope 3 weeks after epicardial ablation and left atrial appendage ligation. He was found to have hemorrhagic pericardial effusion with tamponade physiology and gastrointestinal bleeding from a clean-based duodenal ulcer. Management included pericardiocentesis, anticoagulation reversal, and stabilization. This case underscores the interplay between cardiac tamponade and GI bleeding, highlighting the importance of early recognition and multidisciplinary management.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.71501

Author: Kairui Sun

Institution: Michigan State University

Language: English

Topic: Atrial Fibrillation Management and Outcomes

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820