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Dressler's syndrome and angina pectoris relieved by surgery

J A Gibbons, W V Vieweg

    Chest
    |March 1, 1980
    PubMed

    Insights

    A patient with chronic Dressler's syndrome after myocardial infarction was successfully treated with pericardiectomy and bypass surgery. This approach resolved symptoms and eliminated the need for long-term steroid therapy.

    Area of Science:

    • Cardiology
    • Cardiac Surgery
    • Immunology

    Background:

    • Dressler's syndrome, a form of post-myocardial infarction pericarditis, can lead to chronic inflammation and complications.
    • Long-term steroid therapy is often used for chronic pericarditis but carries significant risks.

    Observation:

    • A 49-year-old woman presented with progressive angina and chronic Dressler's syndrome following a second myocardial infarction.
    • Steroid therapy for her chronic pericarditis resulted in multiple complications.

    Findings:

    • Coronary angiography, pericardiectomy, and coronary artery bypass surgery were performed.
    • The patient achieved complete symptom resolution and discontinued all medications.

    Implications:

    • Surgical intervention may offer a viable alternative to long-term immunosuppression for complex Dressler's syndrome.
    • This case highlights the potential for surgical management to improve outcomes in patients with refractory post-cardiac injury syndromes.

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