Dressler's pericarditis and an unusual vascular lesion of the myocardium

Abstract

Description of clinical presentationAn 80-year-old gentleman presented initially to a hospital in Scotland with a week long history of chest pain and shortness of breath. He proceeded to a coronary angiogram which showed severe mid vessel left anterior descending artery (LAD) stenosis, chronic total occlusion (CTO) of the left circumflex distal to the first oblique marginal branch (OM1), and mild disease in the right coronary artery (RCA). He underwent percutaneous intervention to the LAD. He was subsequently admitted to our Hospital in South London three weeks later with pleuritic chest pain, shortness of breath, productive cough and pyrexia.