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Post-Pericardiotomy Syndrome.May 22.pptx

Post-Pericardiotomy Syndrome.May 22.pptx

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Dr. Sharma's excellent lecture
Dr. Sharma's excellent lecture

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Published by: CardiacCareCenterMCH on May 24, 2013
Copyright:Attribution Non-commercial

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05/22/2015

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Post-Pericardiotomy Syndrome
Joy Baysa, MD, PGY-4May 22, 2013
 
Let’s Meet the Patient…
 
11 yo previously healthy male who initially presented with fever of unknown origin and non-tender rashon his hands and feet
Echocardiogram revealed endocarditis of his mitral valve with a mobile vegetation
Subsequently went to the OR for removal of infected
 valve and implantation of 25 mm St Jude’s valve in
the mitral position
PCR positive for hemophilus paraphrophiilus
Discharged home on POD# 13 on IV Rocephin andanti-coagulation with Coumadin
 
 About 6 weeks post-operatively, patient presented incardiology clinic for follow-up
Had complaints of cough, decreased appetite, andincreased fatigue for the past few days
Noted in clinic to be tachycardic to the 110s-120s
No fevers or chest pain

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