Postpericardiotomy syndrome: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name                    = Postpericardiotomy syndrome
| image                  = [[File:3D_still_showing_the_pericardium_layer.jpg|250px]]
| caption                = 3D still showing the pericardium layer
| field                  = [[Cardiology]]
| synonyms                = PPS
| symptoms                = [[Fever]], [[chest pain]], [[pericardial effusion]], [[pleural effusion]]
| complications          = [[Cardiac tamponade]], [[constrictive pericarditis]]
| onset                  = Days to weeks after [[cardiac surgery]]
| duration                = Variable
| causes                  = [[Autoimmune reaction]] following [[cardiac surgery]]
| risks                  = Recent [[cardiac surgery]], [[trauma]] to the [[pericardium]]
| diagnosis              = [[Clinical diagnosis]], [[echocardiogram]], [[chest X-ray]]
| differential            = [[Infectious pericarditis]], [[myocardial infarction]]
| treatment              = [[Nonsteroidal anti-inflammatory drugs]], [[corticosteroids]], [[colchicine]]
| medication              = [[Ibuprofen]], [[aspirin]], [[prednisone]]
| prognosis              = Generally good with treatment
| frequency              = Common after [[cardiac surgery]]
| deaths                  = Rare
}}
'''Postpericardiotomy syndrome''' is a medical condition that can occur after [[surgery]] involving the [[heart]] or [[pericardium]], the sac surrounding the heart. It is characterized by [[fever]], [[chest pain]], and an [[inflammatory]] response. The exact cause is unknown, but it is believed to be related to an immune response following damage to heart tissues or the pericardium.
'''Postpericardiotomy syndrome''' is a medical condition that can occur after [[surgery]] involving the [[heart]] or [[pericardium]], the sac surrounding the heart. It is characterized by [[fever]], [[chest pain]], and an [[inflammatory]] response. The exact cause is unknown, but it is believed to be related to an immune response following damage to heart tissues or the pericardium.
== Symptoms ==
== Symptoms ==
The symptoms of postpericardiotomy syndrome typically begin a few days to a few weeks after surgery. They may include:
The symptoms of postpericardiotomy syndrome typically begin a few days to a few weeks after surgery. They may include:
* [[Fever]]
* [[Fever]]
* [[Chest pain]]
* [[Chest pain]]
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* [[Shortness of breath]]
* [[Shortness of breath]]
* [[Heart palpitations]]
* [[Heart palpitations]]
== Causes ==
== Causes ==
The exact cause of postpericardiotomy syndrome is unknown. It is believed to be related to an immune response following damage to heart tissues or the pericardium during surgery. Other factors that may contribute to the development of this condition include:
The exact cause of postpericardiotomy syndrome is unknown. It is believed to be related to an immune response following damage to heart tissues or the pericardium during surgery. Other factors that may contribute to the development of this condition include:
* [[Viral infection]]
* [[Viral infection]]
* [[Autoimmune response]]
* [[Autoimmune response]]
* [[Inflammation]]
* [[Inflammation]]
== Diagnosis ==
== Diagnosis ==
Diagnosis of postpericardiotomy syndrome is based on the patient's symptoms and medical history. Tests that may be used to confirm the diagnosis include:
Diagnosis of postpericardiotomy syndrome is based on the patient's symptoms and medical history. Tests that may be used to confirm the diagnosis include:
* [[Echocardiogram]]
* [[Echocardiogram]]
* [[Electrocardiogram]]
* [[Electrocardiogram]]
* [[Chest X-ray]]
* [[Chest X-ray]]
* [[Blood tests]]
* [[Blood tests]]
== Treatment ==
== Treatment ==
Treatment for postpericardiotomy syndrome typically involves medications to reduce inflammation and manage symptoms. These may include:
Treatment for postpericardiotomy syndrome typically involves medications to reduce inflammation and manage symptoms. These may include:
* [[Nonsteroidal anti-inflammatory drugs (NSAIDs)]]
* [[Nonsteroidal anti-inflammatory drugs (NSAIDs)]]
* [[Corticosteroids]]
* [[Corticosteroids]]
* [[Colchicine]]
* [[Colchicine]]
In severe cases, additional treatment may be needed to remove excess fluid from around the heart or to prevent recurrence of the condition.
In severe cases, additional treatment may be needed to remove excess fluid from around the heart or to prevent recurrence of the condition.
== See also ==
== See also ==
* [[Pericarditis]]
* [[Pericarditis]]
* [[Pericardial effusion]]
* [[Pericardial effusion]]
* [[Cardiac tamponade]]
* [[Cardiac tamponade]]
== References ==
== References ==
<references />
<references />
{{stub}}
{{stub}}
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Medical conditions]]
[[Category:Medical conditions]]
[[Category:Surgery]]
[[Category:Surgery]]
== Postpericardiotomy syndrome ==
<gallery>
File:3D_still_showing_the_pericardium_layer.jpg|3D still showing the pericardium layer
</gallery>

Latest revision as of 22:08, 6 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Postpericardiotomy syndrome
Synonyms PPS
Pronounce N/A
Specialty N/A
Symptoms Fever, chest pain, pericardial effusion, pleural effusion
Complications Cardiac tamponade, constrictive pericarditis
Onset Days to weeks after cardiac surgery
Duration Variable
Types N/A
Causes Autoimmune reaction following cardiac surgery
Risks Recent cardiac surgery, trauma to the pericardium
Diagnosis Clinical diagnosis, echocardiogram, chest X-ray
Differential diagnosis Infectious pericarditis, myocardial infarction
Prevention N/A
Treatment Nonsteroidal anti-inflammatory drugs, corticosteroids, colchicine
Medication Ibuprofen, aspirin, prednisone
Prognosis Generally good with treatment
Frequency Common after cardiac surgery
Deaths Rare


Postpericardiotomy syndrome is a medical condition that can occur after surgery involving the heart or pericardium, the sac surrounding the heart. It is characterized by fever, chest pain, and an inflammatory response. The exact cause is unknown, but it is believed to be related to an immune response following damage to heart tissues or the pericardium.

Symptoms[edit]

The symptoms of postpericardiotomy syndrome typically begin a few days to a few weeks after surgery. They may include:

Causes[edit]

The exact cause of postpericardiotomy syndrome is unknown. It is believed to be related to an immune response following damage to heart tissues or the pericardium during surgery. Other factors that may contribute to the development of this condition include:

Diagnosis[edit]

Diagnosis of postpericardiotomy syndrome is based on the patient's symptoms and medical history. Tests that may be used to confirm the diagnosis include:

Treatment[edit]

Treatment for postpericardiotomy syndrome typically involves medications to reduce inflammation and manage symptoms. These may include:

In severe cases, additional treatment may be needed to remove excess fluid from around the heart or to prevent recurrence of the condition.

See also[edit]

References[edit]

<references />

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