Spontaneous Hemopericardium Post-Thrombolysis in Stroke

Abstract

Use of intravenous (IV) tissue plasminogen(tPA) as a fibrinolytic therapy for acute ischemic stroke is a standard acute phase treatment. The common complication of tPA is hemorrhage, especially intracranial. But there are other rare sites of bleeding. We present one such rare case of a patient developing spontaneous hemopericardium after IV tPA for acute ischemic stroke.

Keywords: coagulopathy, hemopericardium, Ischemic stroke, tissue plasminogen activator