title: Postcardiac injury syndrome following vascular interventional radiofrequency ablation for paroxysmal atrial fibrillation.
abstract: Postcardiac injury syndrome (PCIS) occurs following a pericardial or myocardial injury. On the other hand, PCIS following cardiac catheter intervention is rare and can be difficult to diagnose because of its delayed onset. A 24-year-old man underwent radiofrequency ablation (RFA) for paroxysmal atrial fibrillation and suffered from general fatigue and left-sided pleural effusion three months after the procedure. His symptoms and effusion were effectively treated within a month by administrating nonsteroidal anti-inflammatory drugs. However, seven months later, he developed left-sided chest pain and low-grade fever. Computed tomography showed a thickening of the parietal pleura and reccurence of the pleural effusion. Pleural biopsy by video-assisted thoracoscopy demonstrated chronic pleuritis with a non-necrotizing granulomatous reaction. Given the previous RFA, and in the absence of infection or malignant disease, he was diagnosed with PCIS and treated with colchicine.
authors.affiliation: Department of Surgery, National Hospital Organization Ehime Medical Center, 366 Yokogawara, Toon, Ehime 791-0281, Japan.
authors.forename: Shungo
authors.initials: S
authors.lastname: Yukumi
authors.affiliation: Respiratory Medicine, National Hospital Organization Ehime Medical Center, 366 Yokogawara, Toon, Ehime 791-0281, Japan.
authors.forename: Hiraku
authors.initials: H
authors.lastname: Ichiki
authors.affiliation: Cardiology, National Hospital Organization Ehime Medical Center, 366 Yokogawara, Toon, Ehime 791-0281, Japan.
authors.forename: Junichi
authors.initials: J
authors.lastname: Funada
authors.affiliation: Department of Surgery, National Hospital Organization Ehime Medical Center, 366 Yokogawara, Toon, Ehime 791-0281, Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Suzuki
authors.affiliation: Department of Surgery, National Hospital Organization Ehime Medical Center, 366 Yokogawara, Toon, Ehime 791-0281, Japan.
authors.forename: Masamitsu
authors.initials: M
authors.lastname: Morimoto
authors.affiliation: Cardiology, National Hospital Organization Ehime Medical Center, 366 Yokogawara, Toon, Ehime 791-0281, Japan.
authors.forename: Teppei
authors.initials: T
authors.lastname: Fujita
authors.affiliation: Cardiology, National Hospital Organization Ehime Medical Center, 366 Yokogawara, Toon, Ehime 791-0281, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Izumi
authors.affiliation: Respiratory Medicine, National Hospital Organization Ehime Medical Center, 366 Yokogawara, Toon, Ehime 791-0281, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Abe
keywords: Catheter intervention; Postcardiac injury syndrome; Postcardiotomy syndrome; Radiofrequency ablation