Post-pericardiotomy syndrome — RACP Paediatrics MCQ

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ModerateCardiologyPost-pericardiotomy syndromeRACP Paediatrics

2 weeks post VSD repair: fever, pericardial effusion, elevated inflammatory markers, negative blood cultures. What is the diagnosis?

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Correct answer: E — Post-pericardiotomy syndrome

Post-pericardiotomy syndrome: immune-mediated inflammation 1-6 weeks post surgery. Treatment: NSAIDs first-line. Colchicine may reduce recurrence.

Reference: RCH Melbourne – 2023 – Post-Cardiac Surgery CPG