Association between post-pericardiotomy syndrome and coronary occlusion after aortic valve replacement.
Fever, leucocytosis, and pericardial and pleural effusions developed after the first postoperative week in a 56 year old man who had undergone aortic valve replacement. Four months later, coronary angiography showed bilateral proximal stenosis of the coronary arteries. In this patient post-pericardiotomy syndrome and subsequent coronary artery stenosis were thought to be associated and an immunological mechanism was suspected.
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Pillai, J. B., Pillay, T. M., Ahmad, J.
(2004). Coronary Ostial Stenosis After Aortic Valve Replacement, Revisited. Ann. Thorac. Surg.
78: 2169-2171
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