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Acute pleuropericarditis after coronary stenting: a case report

Takeshi Setoyama1, Yutaka Furukawa, Mitsuru Abe

  • 1Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, Japan.

Circulation Journal : Official Journal of the Japanese Circulation Society
|February 28, 2006
PubMed

Insights

A rare case of acute pleuropericarditis, a post-cardiac injury syndrome, occurred shortly after percutaneous coronary intervention (PCI). This condition, presenting with chest pain and fever, responded well to medical treatment and drainage.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Percutaneous coronary intervention (PCI) is a common procedure for treating coronary artery disease.
  • Chronic total occlusion (CTO) of the right coronary artery presents unique challenges during PCI.

Observation:

  • A patient developed acute pleuropericarditis 4 hours after successful PCI for CTO of the right coronary artery.
  • Symptoms included acute chest pain and fever, suggesting a post-cardiac injury syndrome.

Findings:

  • Diagnostic workup including blood tests, ECG, chest X-ray, and echocardiogram confirmed acute pleuropericarditis.
  • The patient showed rapid recovery with intravenous hydrocortisone, oral prednisone, and pericardial drainage.

Implications:

  • This case highlights acute pleuropericarditis as a rare, early-onset complication of PCI.
  • Prompt diagnosis and management, including anti-inflammatory therapy and drainage, are crucial for favorable outcomes.

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