A case of constrictive pericarditis associated with huge epicardial fat volume.
Massive deposits of fat around heart are seen in overweight persons and are associated with coronary artery disease. Investigators have focused on the clinical significance of epicardial fat with respect to metabolic effects such as insulin resistance and inflammation, but the mechanical effects, such as constriction, have been largely ignored. We present an unusual case of a 59-year-old woman with obesity and diabetes mellitus who had been undergoing peritoneal dialysis due to end-stage renal disease, and who developed constrictive pericarditis, possibly secondary to extensive epicardial fatty accumulation.
Do
Gi-Won
GW
Department of Internal Medicine, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan, Korea.
Ku
Bon-Seung
BS
Park
Chan-Sung
CS
Kim
Shin-Jae
SJ
Shin
Eun-Seok
ES
Choi
Seong-Hoon
SH
Lee
Sang-Gon
SG