Uncommon presentation of postcardiac injury syndrome: acute pericarditis after percutaneous coronary intervention
Insights
Postcardiac injury syndrome (PCIS) can occur after heart procedures. This report details an unusual case of PCIS following a complicated stent implantation, highlighting atypical presentations.
Area of Science:
- Cardiology
- Internal Medicine
- Medical Complications
Background:
- Postcardiac injury syndrome (PCIS) is a recognized complication following cardiac surgery or myocardial infarction.
- It typically manifests as late-onset pleuropericarditis with characteristic clinical and laboratory findings.
Observation:
- This case report describes an unusual presentation of PCIS.
- The syndrome developed after a prolonged and complicated stent implantation procedure, a less common trigger.
Findings:
- The patient exhibited typical clinical, laboratory, and echocardiographic signs of PCIS.
- Despite the less invasive nature of stent implantation compared to major surgery, PCIS developed.
Implications:
- This case expands the understanding of triggers for PCIS.
- It underscores the importance of considering PCIS even after seemingly minor cardiac interventions.
- Further research may clarify the mechanisms behind PCIS in diverse cardiac procedures.
Abstract:
Postcardiac injury syndrome (PCIS) is a common complication after cardiac surgery and myocardial infarction which is defined as a late developing pleuropericarditis accompanied by a friction rub, elevated inflammation markers and pericardial or pleural effusion. Although almost all of the cases follow a major cardiac operation or myocardial infarction, and are called as postpericardiotomy syndrome (PPS) and postmyocardial infarction syndrome (PMIS), unusual presentations after minor cardiac insults, have also been reported in the literature. We have described an unusual case of PCIS with typical clinical, laboratory, echocardiographic findings that occurred after a prolonged and complicated stent implantation procedure.
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