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Postpericardiotomy syndrome

M E Kaminsky, B A Rodan, D R Osborne

    AJR. American Journal of Roentgenology
    |March 1, 1982
    PubMed
    Summary
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    Postpericardiotomy syndrome, an immune response after pericardium surgery, affects 31% of patients with Wolff-Parkinson-White syndrome. Radiographic abnormalities are key indicators, appearing early and aiding diagnosis.

    Area of Science:

    • Cardiology
    • Thoracic Surgery
    • Immunology

    Background:

    • Postpericardiotomy syndrome (PPS) is an immune response occurring weeks to months after pericardial surgery.
    • Key clinical signs include fever, pericarditis, and pleuritis.

    Purpose of the Study:

    • To investigate the incidence and characteristics of postpericardiotomy syndrome in patients with Wolff-Parkinson-White syndrome.
    • To evaluate the diagnostic value of radiographic findings in postpericardiotomy syndrome.

    Main Methods:

    • Retrospective analysis of 161 patients with Wolff-Parkinson-White syndrome undergoing surgery.
    • Detailed review of clinical records and radiographic findings in patients who developed PPS.

    Main Results:

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  • 50 (31%) patients developed PPS 4-12 days post-surgery.
  • Of 38 analyzed cases, 79% showed significant radiographic abnormalities including pericardial and pleural effusions.
  • Radiographic signs typically appeared within 2 days of symptom onset.

    • Conclusions:

    • Postpericardiotomy syndrome is a notable complication in Wolff-Parkinson-White syndrome patients post-surgery.
    • Postoperative radiographs are crucial for early detection and confirmation of PPS.