PCI 시행 중 관상동맥 파열 후 발생한 PCIS
- Alternative Title
- Post-cardiac injury syndrome (PCIS) following coronary artery perforation during PCI
- Abstract
- Post-cardiac injury syndrome (PCIS) includes post-myocardial infarction syndrome and post-pericardiotomy syndrome. PCIS is usually observed 1~6 weeks after cardiac surgery or myocardial infarction, and rarely after pacemaker implantation, coronary perforation, pulmonary thromboembolism, or radio-frequency ablation. PCIS is characterized by a low-grade fever, pleuritic chest pain, myalgia, a pericardial friction rub, increased inflammatory markers, and pericardial and pleural effusions. Although the pathophysiology of PCIS is controversial, the presence of anti-heart antibodies has implicated an autoimmune response, which has been widely accepted. The treatment of PCIS includes nonsteroidal anti-inflammatory drugs and corticosteroids. Currently, intervention is being performed increasingly in complicated obstructive coronary artery disease, such as chronic total occlusion, long-segment obstructive lesion, and left main coronary artery disease. We report a very rare case of PCIS following coronary artery perforation during PCI.
- All Author(s)
- J. E. Lee
; J. Y. Kwon
; S. W. Lee
; S. J. Lee
; W. Y. Shin
; D. K. Jin
; S. H. Park
- Issued Date
- 2009
- Type
- Article
- Keyword
- Post-cardiac injury syndrome
- Publisher
- 대한내과학회
Korean Association of Internal Medicine
- ISSN
- 1738-9364
; 2289-0769
- Citation Title
- Korean journal of medicine
- Citation Volume
- 77
- Citation Number
- 4
- Citation Start Page
- 503
- Citation End Page
- 507
- Language(ISO)
- kor
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/2853
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