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Title: Epipericardial fat necrosis as cause of chest pain in patient after heart transplantation
Authors: CAFEZEIRO, Caio Reboucas FonsecaLOPES, Mariana PezzuteSILVA, Caio TavaresAVILA, Monica SamuelSEGURO, Luis Fernando B. C.MANGINI, SandrigoCAMPOS, Iascara WozniakGAIOTTO, Fabio A.MARCONDES-BRAGA, Fabiana G.BACAL, Fernando
Citation: AMERICAN JOURNAL OF TRANSPLANTATION, v.20, n.5, p.1451-1453, 2020
Abstract: Epipericardial fat necrosis is an uncommon clinical condition of unknown etiology. It typically presents as acute pleuritic chest pain and should be differentiated from acute pulmonary embolism and acute coronary syndrome. This condition is diagnosed by characteristic chest computed tomography findings of an ovoid mediastinal fatty lesion with intrinsic and surrounding soft-tissue stranding. Treatment of epipericardial fat necrosis includes the administration of anti-inflammatory agents, and symptoms usually resolve within a few days after treatment initiation. This disease entity has rarely been reported since it was first described in 1957. Most current knowledge of epipericardial fat necrosis is based on case reports that describe this condition in previously healthy individuals. We present the case of a 39-year-old woman with a history of heart transplant, who presented with chest pain secondary to epipericardial fat necrosis. Serial computed tomography revealed lesion resolution after appropriate treatment.
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Artigos e Materiais de Revistas Científicas - HC/InCor
Instituto do Coração - HC/InCor

Artigos e Materiais de Revistas Científicas - LIM/11
LIM/11 - Laboratório de Cirurgia Cardiovascular e Fisiopatologia da Circulação

Artigos e Materiais de Revistas Científicas - ODS/03

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