Case Report of Dressler Syndrome and Left Ventricular Aneurysm in a 47-Year-Old Male with Diabetes
Mounaouir Karim
Cardiology Division, Ibn Rochd University Hospital, Casablanca-20250, Morocco.
Nachid Mohammed *
Cardiology Division, Ibn Rochd University Hospital, Casablanca-20250, Morocco.
Eljazouli Ali
Cardiology Division, Ibn Rochd University Hospital, Casablanca-20250, Morocco.
Benhar Ismail
Cardiology Division, Ibn Rochd University Hospital, Casablanca-20250, Morocco.
Meryem Haboub
Cardiology Division, Ibn Rochd University Hospital, Casablanca-20250, Morocco.
Salim Arous
Cardiology Division, Ibn Rochd University Hospital, Casablanca-20250, Morocco.
Ghali Mohamed Bennouna
Cardiology Division, Ibn Rochd University Hospital, Casablanca-20250, Morocco.
Abdenasser Drighil
Cardiology Division, Ibn Rochd University Hospital, Casablanca-20250, Morocco.
Habbal Rachida
Cardiology Division, Ibn Rochd University Hospital, Casablanca-20250, Morocco.
*Author to whom correspondence should be addressed.
Abstract
We present a case report of a 47-year-old male with a known history of recent diabetes who presented with symptoms suggestive of Dressler syndrome, along with the incidental finding of a left ventricular aneurysm. Dressler syndrome is a delayed immune-mediated response following myocardial injury, commonly observed post-myocardial infarction (MI) or cardiac surgery. This case highlights the importance of recognizing the atypical presentation of Dressler syndrome and its association with complications such as ventricular aneurysm, particularly in patients with pre-existing comorbidities.
Keywords: Dressler syndrome, post-cardiac injury syndrome, pericarditis, myocardial infarction, left ventricular aneurysm, cardiac complications, inflammatory response
How to Cite
References
Spodick DH. Acute pericarditis: Current concepts and practice. JAMA. 2003;289(9):1150-1153.
Adlan AM, et al. A review of post-cardiac injury syndrome. Eur Cardiol. 2013;8(2):67-70.
Imazio M, et al. Post-cardiac injury syndromes. An emerging cause of pericardial diseases. Int J Cardiol. 2013;168(2):648-652.
Imazio M, et al. ESC Committee for Practice Guidelines (CPG). ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2017;39(2):119-177.
Klein AL, et al. Recognition and management of patients with myocardial infarction complicated by left ventricular free-wall rupture. Chest. 1998;113(3):564-570.
Hsiao SH, et al. Dressler's syndrome and cardiac tamponade following resection of intraventricular papillary muscle. J Cardiothorac Surg. 2012;7:62.
Kouraki K, et al. Left ventricular aneurysm in diabetes mellitus: a case report. BMC Cardiovasc Disord. 2002;2:6.
Baranowski A, et al. Diagnosis and management of Dressler syndrome: A comprehensive review. Heart Fail Rev. 2020;25(6):937-946.
Trivedi K, et al. Dressler's syndrome: An often forgotten diagnosis. BMJ Case Rep. 2014;2014:bcr2013201746.
Imazio M, et al. Contemporary management of pericardial diseases. Curr Opin Cardiol. 2012;27(3):308- 317.
Imazio M, et al. A randomized trial of colchicine for acute pericarditis. N Engl J Med. 2013;369(16):1522-1528.