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Recurrent Postcardiac Injury Syndrome Mimicking Cardiac Perforation Following Transvenous Pacing: An Unusual Presentation
Author(s) -
KRISHNAN MANGALATH N.,
LUQMAN NAZAR,
NAIR RAMACHANDRAN,
MONCY OOMMEN J.,
CHONG CHEAN L.,
CHONG CHEE F.W.,
LAU NGO B.
Publication year - 2006
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2006.00539.x
Subject(s) - medicine , pericardial effusion , surgery , perforation , pericarditis , effusion , pleural effusion , presentation (obstetrics) , cardiac tamponade , cardiology , materials science , punching , metallurgy
We report a case of recurrent postcardiac injury syndrome (PCIS) after pacemaker lead insertion. Each episode was attended by hemorrhagic pleuro‐pericardial effusion with drop in hemoglobin levels leading us to consider cardiac perforation and subject the patient to surgical pericardiotomy. However, no perforation or active bleeding was detected on exploration. This unusual case illustrates the occurrence of PCIS following pacemaker lead insertion, mimicking cardiac perforation. This entity should be considered in patients who, after pacemaker lead insertion, develop pericardial and pleural effusion associated with markers of inflammation.