Ibrutinib-Associated Cardiac Tamponade with Concurrent Antiplatelet Therapy

Autor: John H Hughes, Jennifer L Miatech, Dillon K McCarty, M Patrick Stagg
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Case Reports in Hematology, Vol 2020 (2020)
Case Reports in Hematology
ISSN: 2090-6579
2090-6560
Popis: Ibrutinib is approved for the first-line treatment of chronic lymphocytic leukemia (CLL). A well-known side effect of ibrutinib therapy is increased bleeding risk, which ranges from mild mucocutaneous bleeding to rarely life-threatening hemorrhage. The increased bleeding tendency associated with ibrutinib is thought to be related to its effect on several platelet signaling pathways, which can be exacerbated in the setting of concurrent antiplatelet or anticoagulant therapy. We present an 82-year-old male with CLL on ibrutinib and concurrent antiplatelet therapy who developed cardiac tamponade due to a hemorrhagic pericardial effusion requiring emergent placement of a pericardial window. This case further highlights the risk of major bleeding in patients treated with ibrutinib and concurrent antiplatelet therapy.
Databáze: OpenAIRE