Post-cardiac injury syndrome (PCIS) following coronary artery perforation during PCI.
- Author:
Ji Eun LEE
1
;
Ji Yeon KWON
;
Se Whan LEE
;
Seung Jin LEE
;
Won Yong SHIN
;
Dong Kyu JIN
;
Sang Ho PARK
Author Information
1. Department of Internal Medicine, Soonchunhyang University Medical College, Cheonan, Korea. matsalong@schch.co.kr
- Publication Type:Case Report
- Keywords:
Post-cardiac injury syndrome
- MeSH:
Adrenal Cortex Hormones;
Antibodies;
Autoimmunity;
Chest Pain;
Coronary Artery Disease;
Coronary Vessels;
Fever;
Friction;
Infarction;
Myocardial Infarction;
Pleural Effusion;
Pulmonary Embolism;
Thoracic Surgery
- From:Korean Journal of Medicine
2009;77(4):503-507
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Post-cardiac injury syndrome (PCIS) includes post-myocardial infarction syndrome and post-pericardiotomy syndrome. PCIS is usually observed 1~6 weeks after cardiac surgery or myocardial infarction, and rarely after pacemaker implantation, coronary perforation, pulmonary thromboembolism, or radio-frequency ablation. PCIS is characterized by a low-grade fever, pleuritic chest pain, myalgia, a pericardial friction rub, increased inflammatory markers, and pericardial and pleural effusions. Although the pathophysiology of PCIS is controversial, the presence of anti-heart antibodies has implicated an autoimmune response, which has been widely accepted. The treatment of PCIS includes nonsteroidal anti-inflammatory drugs and corticosteroids. Currently, intervention is being performed increasingly in complicated obstructive coronary artery disease, such as chronic total occlusion, long-segment obstructive lesion, and left main coronary artery disease. We report a very rare case of PCIS following coronary artery perforation during PCI.
