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.

Downloads

Download data is not yet available.

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 Nov. 26];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

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2023 Medicina Interna

Open Access

Most read articles by the same author(s)