PA chest radiograph of 61-year-old female patient prior to pacemaker implantation shows regular heart size (A). Correct lead position is seen immediately following implantation of DDD pacemaker (B). Three months later, patient suffered from fever and poor cardiac function. Massive pericardial effusion was observed seen on PA chest radiograph (C), which was attributed to postcardiotomy syndrome. * The postcardiotomy syndrome (PPS), also referred to as Dressler syndrome, has been widely described after cardiac surgery. It generally manifests 1-3 months after surgery with the most clinical symptoms of fever, chest pain, and pericardial effusion. The underlying pathophysiology has yet to be thoroughly understood, although an autoimmune response to disturbance of the pericardial integrity is believed to play an important role in this phenomenon.
Posted on: Mon, 19 May 2014 17:52:16 +0000
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