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Case Reports
. 2017 Apr 18;5(6):855-858.
doi: 10.1002/ccr3.955. eCollection 2017 Jun.

A presentation of postcardiac injury syndrome after successful chronic total occlusion percutaneous coronary intervention using dissection re-entry techniques

Gabby Elbaz-Greener  1 , Harindra C Wijeysundera  1
Affiliations
Case Reports

A presentation of postcardiac injury syndrome after successful chronic total occlusion percutaneous coronary intervention using dissection re-entry techniques

Gabby Elbaz-Greener et al. Clin Case Rep. .

Abstract

Retrograde dissection re-entry can cause pericardial trauma of sufficient degree to lead to the development of an auto-immune postpericardial injury syndrome. Clinical suspicion for this condition should be high in the event of fever, symptoms, pericardial/pleural effusion, and pleuritic chest pain following chronic total occlusion (CTO) Post cardiac injury syndromes (PCI).

Keywords: Case report; chronic total occlusion; pericardial effusion; pleural effusion.

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Figures

Figure 1
Figure 1
Total occlusion of the right coronary artery (RCA) with left to right collateral via septal arteries.
Figure 2
Figure 2
Successful stenting with three drug‐eluting stents.
Figure 3
Figure 3
Two hours after procedure, under pleuritic pain no evidence of pericarditis changes.
Figure 4
Figure 4
Chest X‐ray showing enlargement of the cardiac silhouette and left‐sided pleural effusion with accompanying atelectasis.
Figure 5
Figure 5
Pericardial effusion and bilateral pleural effusion.
See this image and copyright information in PMC

References

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