Acute pleuropericarditis after coronary stenting: a case report.
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 4 h 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.
Setoyama
Takeshi
T
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, Japan.
Furukawa
Yutaka
Y
Abe
Mitsuru
M
Nakagawa
Yoshihisa
Y
Kita
Toru
T
Kimura
Takeshi
T
D000208:Acute Disease; D000368:Aged; D003327:Coronary Disease / Q000503:physiopathology / Q000601:surgery; D003331:Coronary Vessels / Q000503:physiopathology / Q000601:surgery; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D008297:Male; D010493:Pericarditis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D011241:Prednisone / Q000627:therapeutic use; D015607:Stents / Q000009:adverse effects*
D011241:Prednisone; D006854:Hydrocortisone