Postpericardiotomy syndrome

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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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

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

• Fever
• Chest pain
• Fatigue
• Shortness of breath
• Heart palpitations

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:

• Viral infection
• Autoimmune response
• Inflammation

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:

• Echocardiogram
• Electrocardiogram
• Chest X-ray
• Blood tests

Treatment

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

• Nonsteroidal anti-inflammatory drugs (NSAIDs)
• Corticosteroids
• Colchicine

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

• Pericarditis
• Pericardial effusion
• Cardiac tamponade

References

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