title: A case of constrictive pericarditis associated with huge epicardial fat volume.
abstract: 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.
authors: Department of Internal Medicine, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan, Korea.
authors: Gi-Won
authors: GW
authors: Do
authors: Bon-Seung
authors: BS
authors: Ku
authors: Chan-Sung
authors: CS
authors: Park
authors: Shin-Jae
authors: SJ
authors: Kim
authors: Eun-Seok
authors: ES
authors: Shin
authors: Seong-Hoon
authors: SH
authors: Choi
authors: Sang-Gon
authors: SG
authors: Lee