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Acute Pericarditis after Percutaneous Coronary Intervention: A Case Report
Greta Rodevič1, Povilas Budrys2,3, Giedrius Davidavičius2,3
1Faculty of Medicine, Vilnius University, M. K. Čiurlionio g. 21/27, LT-03101 Vilnius, Lithuania.
Medicina (Kaunas, Lithuania)
|June 2, 2021
Summary
Acute pericarditis is a rare complication following percutaneous coronary intervention (PCI). This case highlights an unusual early onset after an uncomplicated PCI, emphasizing the need for consideration in patients with chest pain post-procedure.
Area of Science:
- Cardiology
- Interventional Cardiology
Background:
- Percutaneous coronary intervention (PCI) is a rare cause of pericarditis.
- Pericarditis typically occurs after a latent period or due to periprocedural complications.
Observation:
- A 58-year-old man developed severe chest pain 6 hours after an unsuccessful PCI for left anterior descending artery chronic total occlusion.
- Electrocardiogram showed ST-segment elevation, with mild Troponin I elevation and no angiographic complications.
- Diagnosis of acute pericarditis was confirmed by chest pain, ECG findings, pericardial effusion, and elevated C-reactive protein.
Findings:
- Acute pericarditis can manifest early after an uncomplicated PCI.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) effectively treated the pericarditis.
- Symptoms resolved within three days of NSAID treatment.
Implications:
- Consider acute pericarditis in patients presenting with symptoms and signs of pericarditis after PCI, even without apparent complications.
- Early diagnosis and treatment of post-PCI pericarditis are crucial for patient recovery.
- This case underscores the importance of recognizing atypical presentations of rare PCI complications.
