Association between post-pericardiotomy syndrome and coronary occlusion after aortic valve replacement.
Fever, leucocytosis, and pericardial and pleural effusions developed after the first postoperative week in a 56 year old man who had undergone aortic valve replacement. Four months later, coronary angiography showed bilateral proximal stenosis of the coronary arteries. In this patient post-pericardiotomy syndrome and subsequent coronary artery stenosis were thought to be associated and an immunological mechanism was suspected.
D001021:Aortic Valve / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000209:etiology*; D003327:Coronary Disease / Q000209:etiology*; D003331:Coronary Vessels; D006331:Heart Diseases / Q000209:etiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011185:Postpericardiotomy Syndrome / Q000209:etiology*