Related Experiment Video
Updated: Aug 11, 2026
06:59
Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
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.
Summary
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.
Related Concept Videos
01:19Pericarditis II: Clinical Features and Diagnostic Tests
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
01:22Pericarditis I: Introduction
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
01:25Pericarditis IV: Nursing Management
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
01:17Pericarditis III: Medical Management
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
01:25Endocarditis I: Introduction
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
01:25Endocarditis II: Clinical Features of Infective Endocarditis
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...