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All Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Ahmad Dahlan Medical Journal
Jusuf, Axel
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Peri-Myocardial Infarction Pericarditis After Single Stent Early PCI on a STEMI Patient: A Rare Case of Outpatient in Urban Setting Laksono, Sidhi; Jusuf, Axel
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

Peri-Myocardial Infarction Pericarditis (PMIP), can occur a few days following a myocardial infarction (MI). PMIP frequently exhibits the auscultatory findings of a pericardial friction rub and pericardial effusion. On the other hand, relatively little is known about the management approach. This study aims to report a patient with PMIP following successful revascularization via Percutaneous Coronary Intervention (PCI) for a recent MI. A 50-year-old male was brought to our Outpatient Clinic with chest pain of two days onset. The patient experienced radiating chest pain, cold sweat, heartburn, and general fatigue. ECG shows extensive anterior ST-elevation myocardial infarction (STEMI), and Troponin T was elevated >2000 ng/L. The patient underwent PCI with single stent deployment. Three days later, the patient experienced dyspnea with Transthoracic Echocardiography (TTE) findings consistent with Early PMIP. The patient was discharged after completing full conservative therapy with good results. The clinical findings of PMIP alone may be subtle and go unnoticed. Clinicians should maintain a high level of suspicion in the era of revascularization and develop a strategic plan for timely diagnosis and management. While anti-inflammatory medical therapy is aimed at reducing inflammation and preventing recurrences and progression of the disease, further research is needed to establish prognostic significance and management strategy since clinically diagnosed PMIP has a benign and self-limiting nature.
A POSSIBLE MODALITY OF INTERVENTION IN A SURGICALLY IMPOSSIBLE CASE OF GIANT CORONARY ANEURYSM: A SUCCESSFUL CASE Laksono, Sidhi; Jusuf, Axel; Kusharsamita, Hillary
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 13 No. 2 (2026): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v13i2.824

Abstract

Giant coronary artery aneurysms (CAAs), defined as dilations exceeding 20 mm or four times the normal artery diameter, are rare clinical entities with limited management guidelines. Most cases are discovered incidentally, but complications can be life-threatening. Treatment remains controversial, with options including medical therapy, percutaneous intervention, and surgery. We report the case of a 64-year-old male with chest pain and high-risk NSTEMI, found to have a de novo giant saccular aneurysm in the mid-left anterior descending artery (LAD) through coronary CT angiography. Coronary angiography confirmed significant LAD and LCX stenosis alongside aneurysmal progression. Surgery was ruled out due to high intraoperative risk. After multidisciplinary deliberation, percutaneous coronary intervention (PCI) using overlapping covered stents was performed, successfully excluding the aneurysm. The patient’s condition stabilized post-procedure, and he was discharged in good condition with continued outpatient follow-up. This case demonstrates that percutaneous intervention with covered stents can be a safe and effective treatment for giant CAAs in select high-risk patients when surgical options are limited. It highlights the role of advanced imaging, intravascular ultrasound, and multidisciplinary decision-making in guiding individualized treatment. Further research is essential to establish optimal management strategies and long-term outcomes for patients with giant CAAs.
Co-Authors Kusharsamita, Hillary Laksono, Sidhi