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Pericardial Effusion Due To Stent Rupture And Overlap Syndrome

Author: 
Dr. Reema Kashiva, Dr. Dileep Mane, Dr. Dattatraya Patil and Dr. Namdeo Jagtap
Subject Area: 
Health Sciences
Abstract: 

A 48years old female known case of hypertension and ischemic heart disease with post percutaneous coronary angioplasty (PTCA)status to left anterior descending (LAD) and right coronary artery (RCA), was admitted to our hospital with history ofsevere breathlessness, chest pain, bilateral lower limb swelling - on and off since last 2-3 years. Initial investigation depicted moderate to severe pericardial effusion, for which she was treated with anti-tubercular drugs. Initial symptomatic relief was achieved with antikoch’s treatment. But, few months later she experienced same complaints with rapid progression. Which on investigation shown to have massive pericardial effusion. This was further investigated and found to have ruptured RCA stent communicating with pericardial cavity and positive antinuclear antibody test (ANA) test. She was treated with pericardiactomy and improved.

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