Post-Pericardiotomy Syndrome - a clinical re­port

Authors

  • Ana Mendes Interna do lnternato Complementar de lmuno-alergologia, Serviço de Medicina 3 do Hospital de Santa Maria, Lisboa
  • Susana Lopes da Silva Interna do lnternato Complementar de lmuno-alergologia, Serviço de Medicina 3 do Hospital de Santa Maria, Lisboa
  • Marina Fonseca Assistente Hospitalar de Medicina Interna, Serviço de Medicina 3 do Hospital de S:inta Maria, Lisboa
  • Carlos Ferreira Chefe de Serviço de Medicina Interna, Serviço de Medicina 3 do Hospital de Santa Maria, Lisboa
  • J. Meneses Santos Consultor de Medicina Interna, Serviço de Medicina 3 do Hospital de Santa Maria, Lisboa

Keywords:

Post-pericardiotomy syndrome, pericardial effusion, pleural effusion, pneumonitis, arthralgia

Abstract

The authors describe the case of a 67-year-old man who, after coronary bypass surgery and anti­ coagulation treatment with warfarin, presented with fever, arthralgia, bloody pericardial and bilateral pleural effusions, pneumonitis, anaemia and a prolonged protrombin time. He also showed reduced effort tolerance, distended jugular vein pressure and ankle oedema. All the symptoms disappeared within 3 months. The patient was followed for two years with no subsequent re-appearance of symptoms. The authors conclude that the patient had post­ pericardiotomy syndrome with the serositis being worsened by a haemorrhagic component due to iatrogenic hypocoagulability. A review of the literature is included.

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References

Miller GL, Coccio EB, Sharma SC. Postpericardiotomy syndrome and cardiac tamponade following transvenous pacemaker placement. Clin Cardiol 1996; 19: 255-256.

Ebert PA. The Pericardium ln: Sabiston, Spencer (ed.). Gibbon's - Surgery of The Chest New York - Saunders 1976: 978-980.

Herrera-Franco R, Narváez-Riviera JL, Benítez-Pérez C. Recurrent cardiac tamponade secondary to postpericardiotomy syndrome. Gac Med Mex 1999;135:593-597.

Braunwald E: Pericardial Disease ln. Fauci, Braunwald, lsselbacher, Martin. Kasper, Hauser, Longo (ed.). Harrisson's Principies of Internai Medicine McGraw-Hill 1998: 1337-1338.

Kocazeybek B, Erenturk S, Calyk MK, Babacan F. An immunological approach to postpericardiotomy syndrome occurence and its relation with autoimmunity. Acta Chir Belg 1998; 98: 203-206.

Kim S, Sahn SA: Postcardiac injury syndrome. An immunologic pleural fluid analysis. Chest 1996; 109: 570-572.

Engle MA: Postpericardiotomy syndrome in adults: incidence, autoimmunity and virology. Circulation 1981; 64: II 58-60.

Engle MA, Zabriskie JB, Senterfit LB, Tay DJ, Ebert PA. lmmunologic and virologic studies in the postpericardiotomy syndrome. J Pediatr 1975; 87: 1103-1 108.

Davenport J. Postpericardiotomy syndrome. Am Fam Physician 1989; 39: 185-188.

Khan AH: The postcardiac injury syndromes. Clin Cardiol 1992;15: 67-72.

McClendon CE, Leff RD, Clark EB. Postpericardiotomy syndro­ me. Drug lntell Clin Pharm 1986; 20: 20-23.

Horneffer PJ et col. The effective treatment of post­ pericardiotomy syndrome after cardiac operations. A randomized placebo-controlled triai. J Thorac Cardiovasc Surg 1990; 100: 292-296.

Martins JB, Kerber RE. Can Cardiac Tamponade be Diagnosed by Echocardiography? Circulation 1979; 60: 737-742.

Additional Files

Published

2001-12-31

How to Cite

1.
Mendes A, Lopes da Silva S, Fonseca M, Ferreira C, Meneses Santos J. Post-Pericardiotomy Syndrome - a clinical re­port. RPMI [Internet]. 2001 Dec. 31 [cited 2024 May 16];8(4):192-5. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/1924

Issue

Vol. 8 No. 4 (2001): Outubro/ Dezembro

Section

Case Reports

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