Probable postcardiotomy syndrome following implantation of a transvenous pacemaker: report of the first case.
The syndrome of fever and pericarditis is reported following implantation of a transvenous pacemaker in a 72-year-old man. The pacemaker was placed for prophylactic reasons (i.e., presence of bifascicular block). The syndrome resolved spontaneously after over four weeks of fever and a pericardial friction rub. Perforation of the right ventricle, although not recognized in this patient, is a complication which occurs with passage of a transvenous pacemaker. There was no other antecedent events to explain the syndrome such as myocardial infarction or trauma to the chest.
D000368:Aged; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011185:Postpericardiotomy Syndrome / Q000175:diagnosis / Q000209:etiology*