Rare Presentation of Postpericardiotomy Syndrome After Left Atrial Myxoma Removal

Autor: Jessy Feng BA, Nina Shyama Appareddy MD, Yaman Gibran MD, Aryana Garza BS, Jacqueline Luevano MD, Gustavo Garcia MD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Investigative Medicine High Impact Case Reports, Vol 11 (2023)
Druh dokumentu: article
ISSN: 2324-7096
23247096
DOI: 10.1177/23247096231217858
Popis: Postpericardiotomy syndrome (PPS) is a known complication of cardiac valve surgery, but it has not been commonly reported as a postoperative complication of cardiac myxoma removal. A 78-year-old female with hypertension and atrial fibrillation presenting with angina was found to have a large left atrial myxoma (7.5 cm × 4.4 cm). The myxoma was resected; however, 1-week postoperation hemoglobin and blood pressure decreased with elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). Limited transthoracic echocardiogram (TTE) showed moderate pericardial effusion, confirming the diagnosis of PPS. This case highlights the importance of monitoring patients postremoval of myxoma for symptoms of PPS.
Databáze: Directory of Open Access Journals