4.5 Article

Acute pleuropericarditis after coronary stenting - A case report

Journal

CIRCULATION JOURNAL
Volume 70, Issue 3, Pages 358-361

Publisher

JAPANESE CIRCULATION SOC
DOI: 10.1253/circj.70.358

Keywords

percutaneous coronary intervention; post-cardiac injury syndrome; prednisone; stent

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A case of acute pleuropericarditis, which occurred after apparently successful percutaneous coronary intervention (PCI) for chronic total occlusion of the right coronary artery, is reported. The patient underwent coronary stenting without any immediate signs of complications. However, he had an acute onset of chest pain with fever which happened 4h after PCI. He was diagnosed with acute pleuropericarditis by blood tests, electrocardiogram, chest X-ray, and echocardiogram. He rapidly recovered by intravenous hydrocortisone followed by oral prednisone administrations and percutaneous catheter pericardial drainage. Acute pleuropericarditis relevant to post-cardiac injury syndrome with an atypically early onset might have occurred in this case as a rare complication of PCI.

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