The Postpericardiotomy Syndrome

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Abstract
THE postpericardiotomy syndrome as described by Ito et al.1,2 is a febrile illness with pericardial and sometimes pleuropulmonary reaction that follows extensive pericardiotomy. This clinical entity had originally been called postcommissurotomy syndrome because it was seen in some patients after mitral valvulotomy; it was thought to represent reactivation of rheumatic fever. Ito and her associates,1,2 however, pointed out that patients with no evidence of rheumatic heart disease had the identical postoperative reaction and that the common factor in both groups of patients was pericardiotomy with or without cardiotomy. A similar illness, the postmyocardial-infarction syndrome, was described by Dressier . . .

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