Epicardial fat necrosis: An uncommon etiology of chest pain

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Epicardial fat necrosis: an uncommon etiology of chest pain.

Epicardial fat necrosis (EFN) is a rare cause of severe chest pain. We present a case of EFN successfully treated conservatively. With the advent of computed tomography and magnetic resonance imaging, the diagnosis can be made more precisely, avoiding the need for surgical intervention. We review the clinical characteristics, pathogenesis and treatment options of EFN.

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Epipericardial fat necrosis: an unusual cause of chest pain

Epipericardial fat necrosis is a rare, benign, and self-limited cause of acute chest pain, with only 35 cases reported in the literature.(1,2) It presents as new-onset pleuritic chest pain in otherwise healthy patients, and, therefore, it is an important differential diagnosis for acute chest pain in this group of individuals. The pathophysiology has been labeled as idiopathic or related to an ...

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Acute Chest Pain Related to Pericardial Fat Necrosis

An otherwise healthy 56-year-old woman (BMI, 31 kg/m) presented to our emergency department with acute nonradiating left-sided chest pain. She had no associated dyspnea, fever, or other clinical findings. An electrocardiogram and serum troponin level were unremarkable. Nonenhanced computed tomography (CT) of the chest (Figure 1) showed a left anterior low-attenuation (−80HU) pericardial mass wi...

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ژورنال

عنوان ژورنال: Cardiology Journal

سال: 2012

ISSN: 1897-5593

DOI: 10.5603/cj.2012.0076