Lisete Lopes, C. Henriques, A. Francisco, D. Rodrigues, A. Pires
{"title":"Postpericardiotomy Syndrome after Nuss Procedure","authors":"Lisete Lopes, C. Henriques, A. Francisco, D. Rodrigues, A. Pires","doi":"10.5935/2318-8219.20200043","DOIUrl":null,"url":null,"abstract":"Postpericardiotomy syndrome (PPS) was first described in 1953 in patients with fever and pleuritic chest pain undergoing rheumatic mitral stenosis repair surgery.1, 2 PPS was initially believed to be associated with rheumatic disease reactivation and was subsequently recognized as an autoimmune inflammatory process.1, 2 The proposed diagnostic criteria have changed over time1 but are currently based on the COPPS3 and COPPS-24 studies, which were developed to assess the benefit of colchicine in PPS.2 A PPS diagnosis requires at least two of the following criteria: fever of unknown cause, pain with characteristics of pleuritis or pericarditis, a rubbing sound on auscultation, and evidence of pericardial and/or pleural effusion with increased C-reactive protein level.3,-5 Most patients present a benign and self-limited progression.6 However, the form and severity of clinical presentation can vary widely from asymptomatic patients with mild pleural and/ or pericardial effusion to those with serious complications such as cardiac tamponade.1, 2","PeriodicalId":211175,"journal":{"name":"ARQUIVOS BRASILEIROS DE CARDIOLOGIA - IMAGEM CARDIOVASCULAR","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ARQUIVOS BRASILEIROS DE CARDIOLOGIA - IMAGEM CARDIOVASCULAR","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5935/2318-8219.20200043","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Postpericardiotomy syndrome (PPS) was first described in 1953 in patients with fever and pleuritic chest pain undergoing rheumatic mitral stenosis repair surgery.1, 2 PPS was initially believed to be associated with rheumatic disease reactivation and was subsequently recognized as an autoimmune inflammatory process.1, 2 The proposed diagnostic criteria have changed over time1 but are currently based on the COPPS3 and COPPS-24 studies, which were developed to assess the benefit of colchicine in PPS.2 A PPS diagnosis requires at least two of the following criteria: fever of unknown cause, pain with characteristics of pleuritis or pericarditis, a rubbing sound on auscultation, and evidence of pericardial and/or pleural effusion with increased C-reactive protein level.3,-5 Most patients present a benign and self-limited progression.6 However, the form and severity of clinical presentation can vary widely from asymptomatic patients with mild pleural and/ or pericardial effusion to those with serious complications such as cardiac tamponade.1, 2