A very rare complication of subacute pericarditis: a case report of spontaneous coronary artery rupture.

ABSTRACT:

Background

Spontaneous coronary artery rupture (SCAR) is an extremely rare and highly lethal disease.

Case summary

A 74-year-old man who had undergone respiratory surgery (robot-assisted thoracoscopic surgery) presented with exertional dyspnoea since postoperative day (POD) 6. Echocardiography and contrast-enhanced computed tomography showed diffuse pericardial effusion, and a 12-lead electrocardiogram showed widespread concave ST-segment elevation. The diagnosis of acute pericarditis was made based on the absence of significant elevation of cardiac enzymes and the presence of elevated C-reactive peptide levels. The patient was started on anti-inflammatory medication, including steroids; however, on POD 11, the patient developed a sudden cardiopulmonary arrest due to cardiac

SUBMITTER: Fujimoto T 

PROVIDER: S-EPMC8665675 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature