Three weeks after surgery to implant a mechanical aortic valve, a 70-year-old man develops chest pain, fever, and leukocytosis. On examination, the JVP is increased, there is a mechanical S2 sound, and a pericardial friction rub. Which of the following is the most likely diagnosis?
Correct Answer: post pericardiotomy syndrome
Description: The principal symptom is the pain of acute pericarditis that usually develops 1-4 weeks following the cardiac surgery but could appear after months. It can also occur after myocardial infarction (Dressler's syndrome) or after trauma to the heart (stab wound, blunt trauma). The syndrome can remit and recur for up to 2 years. The acute symptoms usually subside in 1-2 weeks.
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now