Abstract
An 80-year-old male patient underwent a coronary angioplasty without signs of complications. The day after the procedure, the patient complained of chest pain. The electrocardiogram showed a widespread ST segment elevation. A chest X-ray revealed pulmonary congestion with pleural effusion. There was no significant pericardial effusion detected with an echocardiogram. An administration of diuretics was initiated. After he showed an improvement of symptoms, the administration of diuretics was tapered. However, a deterioration of the oxygenation level was re-observed. The echocardiogram confirmed a cardiac tamponade at this time. The oxygenation level recovered after pericardiocentesis and pleurocentesis. Post-cardiac injury syndrome was suspected to be the cause of this clinical course, and the patient was given an intravenous administration of hydrocortisone followed by an oral administration of prednisone. All clinical parameters started to improve drastically.
References
Khan AH. The postcardiac injury syndromes. Clin Cardiol. 1992;15(2):67–72.
Escaned J, Ahmad RA, Shiu MF. Pleural effusion following coronary perforation during balloon angioplasty: an unusual presentation of the postpericardiotomy syndrome. Eur Heart J. 1992;13(5):716–7.
Setoyama T, Furukawa Y, Abe M, Nakagawa Y, Kita T, Kimura T. Acute pleuropericarditis after coronary stenting: a case report. Circ J. 2006;70(3):358–61.
Gungor B, Ucer E, Erdinler IC. Uncommon presentation of postcardiac injury syndrome: acute pericarditis after percutaneous coronary intervention. Int J Cardiol. 2008;128(1):e19–21.
Ito T, Engle MA, Goldberg HP. Postpericardiotomy syndrome following surgery for nonrheumatic heart disease. Circulation. 1958;17(4, Part 1):549–56.
Kaye D, Frankl W, Arditi LI. Probable postcardiotomy syndrome following implantation of a transvenous pacemaker: report of the first case. Am Heart J. 1975;90(5):627–30.
Rovang KS, Hee TT, Pagano TV, Mohiuddin S. Dressler’s syndrome complicating radiofrequency ablation of an accessory atrioventricular pathway. Pacing Clin Electrophysiol. 1993;16(2):251–3.
Jerjes-Sanchez C, Ramirez-Rivera A, Ibarra-Perez C. The Dressler syndrome after pulmonary embolism. Am J Cardiol. 1996;78(3):343–5.
Nomura Y, Yoshinaga M, Haraguchi T, Oku S, Noda T, Miyata K, Umebayashi Y, Taira A. Relationship between the degree of injury at operation and the change in antimyosin antibody titer in the postpericardiotomy syndrome. Pediatr Cardiol. 1994;15(3):116–20.
Park JS, Kim DH, Choi WG, Woo SI, Kwan J, Park KS, Lee WH, Lee JJ, Choi YJ. Postcardiac injury syndrome after percutaneous coronary intervention. Yonsei Med J. 2010;51(2):284–6.
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Kawase, Y., Ota, H., Okubo, M. et al. Post-cardiac injury syndrome after a simple coronary stenting. Cardiovasc Interv and Ther 30, 287–292 (2015). https://doi.org/10.1007/s12928-014-0289-x
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DOI: https://doi.org/10.1007/s12928-014-0289-x