A Case of Constrictive Pericarditis Associated With Huge Epicardial Fat Volume.
10.4070/kcj.2009.39.3.116
- Author:
Gi Won DO
1
;
Bon Seung KU
;
Chan Sung PARK
;
Shin Jae KIM
;
Eun Seok SHIN
;
Seong Hoon CHOI
;
Sang Gon LEE
Author Information
1. Department of Internal Medicine, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan, Korea. kimsc226@lycos.co.kr
- Publication Type:Case Report
- Keywords:
Epicardium;
Fat;
Pericarditis, constrictive;
Echocardiography;
Tomography, spiral computed;
Heart catheterization
- MeSH:
Cardiac Catheterization;
Constriction;
Coronary Artery Disease;
Diabetes Mellitus;
Echocardiography;
Female;
Heart;
Humans;
Inflammation;
Insulin Resistance;
Kidney Failure, Chronic;
Middle Aged;
Obesity;
Overweight;
Pericarditis, Constrictive;
Pericardium;
Peritoneal Dialysis;
Research Personnel;
Tomography, Spiral Computed
- From:Korean Circulation Journal
2009;39(3):116-120
- CountryRepublic of Korea
- Language:English
-
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.
