Abstract

A 72-YEAR-OLD MAN presented to the hospital after a collapse at home. He had been unwell for 1 week with lethargy and malaise. On the day of admission, he developed fever, chills, and rigors and had suffered a brief loss of consciousness associated with tonic-clonic limb movements. Past medical history included ischemic cardiomyopathy, coronary artery bypass graft surgery, chronic atrial fibrillation, and brainstem stroke with no residual deficit. Three weeks earlier, he had undergone radiofrequency catheter ablation for the treatment of atrial fibrillation under general anesthesia. There were no technical difficulties during the procedure. However, during the procedure, he developed a small pericardial fluid collection, which was managed conservatively and spontaneously resolved.

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