Postcardiac injury syndrome following radiofrequency ablation of idiopathic left ventricular tachycardia

  • Liang Rong Zheng
  • XiaoSheng HuEmail author
  • ShuDong Xia
  • Yao Chen


A 73-year-old man, who was admitted to our hospital with idiopathic ventricular tachycardia, underwent radiofrequency catheter ablation(RFCA) without any immediate signs of complications. He complained of sudden onset of chest pain shortly after the RFCA procedure. The diagnosis of PCIS was supported by slight fever, pericardial effusion, bilateral pleural effusion and elevated inflammatory markers. One should be aware of PCIS since there will be increasing performance of RFCA procedures and patients may present with this previously rare postoperative complications.


Catheter ablation Ventricular tachycardia Postcardiac injury syndrome 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Khan, A. H. (1992). The postcardiac injury syndromes. Clinical Cardiology, 15, 67–72.PubMedGoogle Scholar
  2. 2.
    Kim, S., & Sahn, S. A. (1996). Postcardiac injury syndrome. An immunologic pleural fluid analysis. Chest, 109, 570–572.PubMedGoogle Scholar
  3. 3.
    Lichstein, E., Arsura, E., Hollander, G., Greengart, A., & Sanders, M. (1982). Current incidence of post-myocardial infarction (Dressler’s) syndrome. American Journal of Cardiology, 50, 269.CrossRefGoogle Scholar
  4. 4.
    Miller, R. H., Horneffer, P. J., Gardner, T. J., Rykiel, M. F., & Pearson, T. A. (1988). The epidemiology of the postpericardiotomy syndrome: A common complication of surgery. American Heart Journal, 116, 1323–1329.PubMedCrossRefGoogle Scholar
  5. 5.
    Hargreaves, M., & Bashir, Y. (1994). Postcardiotomy syndrome following transvenous pacemaker insertion. European Heart Journal, 15, 1005–1007.PubMedGoogle Scholar
  6. 6.
    Bajaj, B. P. S., Evans, K. E., & Thomas, P. (1999). Postpericardiotomy syndrome following temporary and permanent transvenous pacing. Postgraduate Medical Journal, 75, 357–358.PubMedGoogle Scholar
  7. 7.
    Velander, M., Grip, L., & Mogensen, L. (1993). The postcardiac injury syndrome following percutaneous transluminal coronary angioplasty. Clinical Cardiology, 16, 353–354.PubMedCrossRefGoogle Scholar
  8. 8.
    Escaned, J., Ahmad, R. A., & Shiu, M. F. (1992). Pleural effusion following coronary perforation during balloon angioplasty: an unusual presentation of the postpericardiotomy syndrome. European Heart Journal, 13, 716–717.PubMedGoogle Scholar
  9. 9.
    Hearne, C., & Forjuoh, S. N. (2003). Postcardiac injury syndrome after coronary angioplasty and stenting. Journal of the American Board of Family Practice, 16, 73–74.PubMedCrossRefGoogle Scholar
  10. 10.
    Turitto, G., Abordo, M. G. Jr., Mandawat, M. K., Togay, V. S., & El-Sherif, N. (1998). Radiofrequency ablation for cardiac arrhythmias causing postcardiac injury syndrome. American Journal of Cardiology, 81, 369–370.PubMedCrossRefGoogle Scholar
  11. 11.
    Stelzner, T. J., King, T. E. Jr., Antony, V. B., & Sahn, S. A. (1983). The pleuropulmonary manifestations of the postcardiac injury syndrome. Chest, 84, 383–387.PubMedGoogle Scholar
  12. 12.
    Scheinman, M. M., & Huang, S. (2000). The 1998 NASPE prospective catheter ablation registry. Pacing and Clinical Electrophysiology, 23, 1020–1028.PubMedCrossRefGoogle Scholar
  13. 13.
    Koller, M. L., Maier, S. K., Bauer, W. R., & Schanzenbacher, P. (2004). Postcardiac injury syndrome following radiofrequeny ablation of atrial flutter. Zeitschrift für Kardiologie, 93, 560–565.PubMedCrossRefGoogle Scholar
  14. 14.
    Normura, Y., Yoshinaga, M., Haraguchi, T., Oku, S., Noda, T., Miyata, K., et al. (1994). Relationship between degree of injury at operation and the change in antimyosin antibody titer in the postpericardiotomy syndrome. Pediatric Cardiology, 15, 116–120.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Liang Rong Zheng
    • 1
  • XiaoSheng Hu
    • 1
    Email author
  • ShuDong Xia
    • 1
  • Yao Chen
    • 1
  1. 1.Department of Cardiology, the First Affiliated Hospital, College of MedicineZhejiang UniversityHangzhouChina

Personalised recommendations