Key result
High-power short-duration radiofrequency catheter ablation for atrial fibrillation can rarely cause postpericardial injury syndrome presenting as massive solitary pleural effusion without pericardial effusion.
Why the study?
Previous reports of PPIS after radiofrequency catheter ablation for atrial fibrillation focused on cardiac tamponade and pericardial effusion, whereas solitary pulmonary involvement may also occur.
Case Report (n=17)
Highlights that solitary pulmonary involvement (massive pleural effusion) can occur as a manifestation of postpericardial injury syndrome following radiofrequency catheter ablation for atrial fibrillation.
Postpericardial injury syndrome (PPIS) is defined as pericarditis or pericardial effusion that results from recent myocardial infarction or intracardiac interventions. These symptoms typically include fever, leukocytosis, a high erythrocyte sedimentation rate, and elevated C-reactive protein levels. Additionally, pericardial effusion and pleural effusion may be present. It is considered to be a common complication in cardio-surgery with an occurrence of 3-30%. In the past 20 years, a high number of patients with atrial fibrillation have suffered from PPIS following radiofrequency catheter ablation. However, previous reports focused on identifying cardiac tamponade and pericardial effusion as their main clinical manifestations. Solitary pulmonary involvement following PPIS with the radiofrequency catheter ablation may occur. We report a case of PPIS that presented pleural effusion as the dominant feature soon after the operation and systematic review to illustrate the clinical characteristics of PPIS.
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He et al. (2022) conducted a case report in Atrial fibrillation (n=17). High-power short-duration radiofrequency catheter ablation was evaluated on Development of postpericardial injury syndrome (PPIS) presenting as pleural effusion. High-power short-duration radiofrequency catheter ablation for atrial fibrillation can rarely cause postpericardial injury syndrome presenting as massive solitary pleural effusion without pericardial effusion.
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