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A modern cause of an old disease. Constrictive pericarditis after percutaneous coronary intervention: a case report.

Authors
  • Mohamed, Hassan A
  • Korkola, Stephen
Type
Published Article
Journal
The International journal of angiology : official publication of the International College of Angiology, Inc
Publication Date
Jan 01, 2008
Volume
17
Issue
2
Pages
106–108
Identifiers
PMID: 22477398
Source
Medline
Keywords
License
Unknown

Abstract

A 70-year-old patient developed severe constrictive pericarditis with exertional dyspnea, lethargy and marked peripheral edema four months after percutaneous coronary intervention for acute coronary syndrome. The diagnosis of constrictive pericarditis was confirmed by cardiac catheterization and computed tomography. Despite the short duration of the disease, the pericardium showed fibrosis and had a thickness of approximately 6 mm. The patient underwent pericardiectomy, with a satisfactory outcome. Hemopericardium due to coronary microperforation was suspected to be responsible for the development of constrictive pericarditis. This unusual mid-term complication of percutaneous coronary intervention has rarely been reported and should be suspected in this particular clinical setting.

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