Iatrogenic Pericarditis and Cardiac Tamponade Following Distal Wire Perforation: A Serial Case Report

Abstract

Distal wire perforation is an infrequent percutaneous coronary intervention (PCI) complication, which may progress to one of the fearful conditions, cardiac tamponade, and rarely to iatrogenic pericarditis. We described 2 cases of acute pericarditis and cardiac tamponade following distal guidewire coronary artery perforation that was successfully managed with pericardiocentesis, anti-inflammatory agents, and meticulous follow-up. Although uncommon, acute traumatic pericarditis may also be considered as a complication after a complex PCI.

Post-cardiac Injury Syndrome in a Systemic Lupus Erythematosus Patient After an Open-Heart Operation: A Case Report

“…PCIS is characterized by pericarditis and pleuropericardial effusions that are a consequence of a heart injury [3]. The diagnosis of this condition is made easier by the PCIS clinical criteria, requiring the fulfillment of at least two of the five elements, which include the presence of a fever without a secondary reason, chest pain attacks (pericarditic or pleuritic), audible pericardial or pleural friction rub, pericardial effusion evidence, and with/or without pleural effusion in the presence of increased CRP [4]. Our patient was first identified as having pneumonia, but its clinical features, including fever, pericardial effusion, exudative pleural effusion, increased CRP, and chest pain, have been linked to PCIS.…”