High-dose intravenous immunoglobulin in recurrent postpericardiotomy syndrome

G Wendelin; A Fandl; A Beitzke

doi:10.1007/s00246-007-9025-y

High-dose intravenous immunoglobulin in recurrent postpericardiotomy syndrome

Pediatr Cardiol. 2008 Mar;29(2):463-4. doi: 10.1007/s00246-007-9025-y.

Authors

G Wendelin¹, A Fandl, A Beitzke

Affiliation

¹ Division of Pediatric Cardiology, Department of Pediatric and Adolescent Medicine, Medical University of Graz, Auenbruggerplatz 30, 8036, Graz, Austria. wendeling@utanet.at

PMID: 17674080
DOI: 10.1007/s00246-007-9025-y

Abstract

Postpericardiotomy syndrome is a frequent complication following cardiac surgery. It is characterized by fever, chest pain, pericardial friction rub or pericardial effusion, and laboratory signs of inflammation. Treatment includes the use of nonsteroidal antiinflammatory agents, corticosteroids, and pericardial drainage. We describe a patient with chronic postpericardiotomy syndrome and steroid dependency who was successfully treated by single administration of high-dose intravenous immunoglobulin.

Publication types

Case Reports

MeSH terms

Cardiac Surgical Procedures / adverse effects*
Child
Dose-Response Relationship, Drug
Echocardiography
Female
Follow-Up Studies
Humans
Immunoglobulins, Intravenous / administration & dosage*
Immunologic Factors / administration & dosage*
Infusions, Intravenous
Pericardial Effusion / diagnostic imaging
Pericardial Effusion / drug therapy*
Pericardial Effusion / etiology
Pericardiectomy / adverse effects*
Postoperative Complications
Recurrence
Syndrome
Time Factors

Substances

Immunoglobulins, Intravenous
Immunologic Factors