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A modern cause of an old disease. Constrictive pericarditis after percutaneous coronary intervention: a case report

Hassan A Mohamed1, Stephen Korkola

  • 1Division of Cardiology, Department of Medicine, Department of Surgery, Regina General Hospital,Regina, Saskatchewan.

The International Journal of Angiology : Official Publication of the International College of Angiology, Inc
|April 6, 2012
PubMed

Insights

Severe constrictive pericarditis developed four months after percutaneous coronary intervention. This rare complication, suspected to be caused by hemopericardium from coronary microperforation, required pericardiectomy.

Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Percutaneous coronary intervention (PCI) is a common procedure for acute coronary syndrome.
  • Constrictive pericarditis is a rare but serious complication that can occur after cardiac procedures.

Observation:

  • A 70-year-old patient presented with symptoms of severe constrictive pericarditis four months after PCI.
  • Diagnostic imaging and cardiac catheterization confirmed the diagnosis.
  • The pericardium showed significant fibrosis and thickening (approx. 6 mm).

Findings:

  • Hemopericardium secondary to coronary microperforation was the suspected cause.
  • This represents an unusual mid-term complication of PCI.
  • The patient underwent successful pericardiectomy.

Implications:

  • Clinicians should consider constrictive pericarditis in patients with relevant symptoms post-PCI.
  • Coronary microperforation is a potential, albeit rare, cause of post-PCI constrictive pericarditis.
  • Early diagnosis and surgical intervention can lead to satisfactory outcomes.

Keywords:
AngioplastyConstrictive pericarditisCoronary interventionCoronary perforationPeripheral edema

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