The postpericardiotomy syndrome

Engle, Mary Allen; Ito, Tomiko

doi:10.1016/0002-9149(61)90425-8

Cited by 121 publications

(8 citation statements)

References 9 publications

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“…1 However, in 1958, surgeons noted a delayed postoperative pericardial reaction following surgery for nonrheumatic heart disease and the term PPS was coined. 3 It has since been recognized to occur whenever the pericardium is surgically incised and, as mentioned, is more common among children.…”

Section: Discussionmentioning

confidence: 99%

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Cardiac Tamponade Complicating Postpericardiotomy Syndrome

Scarfone

Donoghue

Alessandrini

2003

Pediatric Emergency Care

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We present 2 children who developed postpericardiotomy syndrome (PPS) and the rare complication of cardiac tamponade after cardiac surgery, each requiring life-saving pericardiocentesis in the emergency department (ED). Each child presented with vomiting as a chief complaint, an initial sign that has not been reported previously. As the frequency of orthotopic heart transplants and other cardiac surgeries among children increases, it is likely that ED physicians will encounter PPS and cardiac tamponade with greater frequency, and it is imperative that it be recognized promptly and treated appropriately. We review PPS, cardiac tamponade, and the proper performance of a pericardiocentesis.

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Section: Discussionmentioning

confidence: 99%

“…1 Patients may present with unexplained fever, chest pain, cough, or fatigue associated with pericardial or pleural effusions. It has an overall incidence of 10% to 40% but occurs more commonly in children.…”

mentioning

confidence: 99%

Cardiac Tamponade Complicating Postpericardiotomy Syndrome

Scarfone

Donoghue

Alessandrini

2003

Pediatric Emergency Care

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“…Furthermore, an identical clinical picture of acute non-specific pericarditis can be seen following other infections such as Reiter's disease (Csonka & Oates, 1957), infectious mononucleosis (Gardner, 1959) and lymphogranuloma venereum (Sheldon et al, 1948). Likewise in pericarditis following heart operations (Engle & Ito, 1961); following myocardial infarction (Dressler, 1959a); gunshot wounds to the heart (Wood, 1956); following traumatic haemopericardium (Tabatznik & Isaacs, 1961); as a result of drug therapy (Costa, Holland & Pickren, 1961;Shafar, 1965) and with penicillin hypersensitivity (Schoenwetter & Silber, 1965), the clinical features are the same. This suggests that an autoimmunity reaction rather than direct causation by all the various agents may be responsible.…”

Section: Aetiologymentioning

confidence: 97%

Acute non-specific pericarditis

Gold

1967

Postgraduate Medical Journal

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“…This picture is frequently associated with fever leukocytosis and elevated erythrocyte sedimentation rates and pericardial effusion [1][2][3]. Although patients may present with similar symptoms, the underlying mechanism varies in different postmyocardial injury syndromes.…”

mentioning

confidence: 99%

“…Dressler [1][2][3][4][5][6][7] postulated that postmyocardial infarction pericarditis was caused by hypersensitivity to the auto-antibodies against the necrotic myocytes. In a study by Liem et al [8], there was no correlation between the circulating autoantibodies and the Dressler syndrome.…”

mentioning

confidence: 99%