Postpericardiotomy syndrome after minimally invasive pectus excavatum repair unresponsive to nonsteroidal anti-inflammatory treatment.
A 14-year-old boy developed postpericardiotomy syndrome after an otherwise uneventful minimally invasive pectus excavatum repair. Dyspnoea, chest pain, and pericardial effusion progressed despite nonsteroidal anti-inflammatory treatment. The symptoms rapidly resolved with intravenous methylprednisolone, and pericardiocentesis was thus avoided. This is the first report of postpericardiotomy syndrome after the Nuss procedure treated with systemic steroids.
Muensterer
O J
OJ
Department of Paediatric Surgery, Dr. von Hauner Children's Hospital, University of Munich, Lindwurmstrasse 4, 80337 Munich, Germany. oliver.muensterer@helios.med.uni-muenchen.de
Schenk
D S
DS
Praun
M
M
Boehm
R
R
Till
H
H
D000293:Adolescent; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D005660:Funnel Chest / Q000601:surgery*; D006801:Humans; D007052:Ibuprofen / Q000627:therapeutic use*; D008297:Male; D011183:Postoperative Complications / Q000188:drug therapy*; D011185:Postpericardiotomy Syndrome / Q000188:drug therapy / Q000209:etiology*
D000894:Anti-Inflammatory Agents, Non-Steroidal; D007052:Ibuprofen