Pericarditis associated with nickel hypersensitivity to the Amplatzer occluder device: a case report

Catheter Cardiovasc Interv. 2005 Nov;66(3):424-6. doi: 10.1002/ccd.20497.

Abstract

A 38-year-old man with a history of migraine headaches with aura and one episode of ischemic stroke was found to have a patent foramen ovale (PFO). After percutaneous closure with the nickel-containing Amplatzer PFO occluder, the patient developed pericarditis, atrial fibrillation, and increased migraine headaches with aura that abated with oral prednisone. He tested positive for nickel hypersensitivity, which we conclude is the likely etiology of his pericarditis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiac Surgical Procedures / adverse effects
  • Cardiac Surgical Procedures / instrumentation*
  • Echocardiography, Transesophageal
  • Glucocorticoids / therapeutic use
  • Heart Septal Defects, Atrial / surgery*
  • Humans
  • Hypersensitivity / complications*
  • Male
  • Migraine Disorders / drug therapy
  • Migraine Disorders / etiology
  • Nickel / adverse effects*
  • Pericarditis / diagnostic imaging
  • Pericarditis / drug therapy
  • Pericarditis / etiology*
  • Prednisolone / therapeutic use
  • Prostheses and Implants / adverse effects*
  • Prosthesis Implantation / adverse effects
  • Prosthesis Implantation / instrumentation*

Substances

  • Glucocorticoids
  • Nickel
  • Prednisolone