Yonsei Med J.  2010 Mar;51(2):284-286. 10.3349/ymj.2010.51.2.284.

Postcardiac Injury Syndrome after Percutaneous Coronary Intervention

• Park JS
• Kim DH
• Choi WG
• Woo SI
• Kwan J
• Park KS
• Lee WH
• Lee JJ
• Choi YJ

• KMID: 1126033
• DOI: http://doi.org/10.3349/ymj.2010.51.2.284

Abstract

The post cardiac injury syndrome is characterized by the development of a fever, pleuropericarditis, and parenchymal pulmonary infiltrates in the weeks following trauma to the pericardium or myocardium. According to previous reports, almost all cases develop after major cardiac surgery or a myocardial infarction. Recently, a few reports have described post cardiac injury syndrome as a complication of endovascular procedures such as percutaneous cardiac intervention. Here we describe an unusual case of post cardiac injury syndrome after a percutaneous coronary intervention.

Keyword

Post cardiac injury syndrome; percutaneous cardiac intervention

MeSH Terms

Angioplasty, Transluminal, Percutaneous Coronary/*adverse effects
Heart Diseases/diagnosis/*etiology
Humans
Male
Middle Aged

Figure

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  Fig. 1 A 12-lead electrocardiogram of the patient. (A) The ECG before the percutaneous coronary intervention, (B) The ECG after the percutaneous coronary intervention. The ECG showed widespread concave ST segment elevations.

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  Fig. 2 (A) Pre-intervention image: Left coronary angiogram shows significant narrowing of the middle left anterior descending artery (arrow). (B) Post-intervention image: The stent was successfully deployed to the middle left anterior descending artery and the final angiogram showed optimal result.

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  Fig. 3 Posteroanterior chest X-ray shows a left pleural effusion (arrow).

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