Introduction:
Post cardiac injury syndrome (PCIS) is the development of pericardial diseases in patients with prior history of cardiac surgery, electrophysiology procedures, myocardial infarction, or percutaneous coronary intervention. The incidence of PCIS varies and is dependent on underlying cause.1 Cardiac surgery is the most common cause (10-40%) followed by electrophysiology procedures (1-2%), and coronary intervention (0.1-1%).1 The clinical presentation is varied as symptoms may develop even after a few years therefore making diagnosis and associated management difficult. Here, we present a case of an adolescent male who developed PCIS induced recurrent pericarditis (RP) after surgical repair of an atrial septal defect (ASD).