Case Presentation:
A 16-year-old male with past medical history of pericarditis that
developed after surgically repaired ASD presented for recurrent episodes
of chest pain. He described his chest pain as 7/10, pleuritic, sharp,
mid-sternal, and worse when supine. Pain was non-radiating without any
associated shortness of breath, fever or chills. Physical examination
and vital signs were within normal limits. Cardiovascular exam showed
regular rate, normal rhythm, S1, S2 sounds, and no pericardial rub. His
chest pain began a few months after surgery, and at that time he was
diagnosed with acute idiopathic pericarditis. After diagnosis, he
frequently experienced flares limiting his daily activities. During
these episodes, he was intermittently treated with a combination of
non-steroidal anti-inflammatory drugs (NSAIDs), colchicine, and
prednisone.