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International Journal of Nephrology
Volume 2011, Article ID 469602, 4 pages
http://dx.doi.org/10.4061/2011/469602
Case Report

Chronic Constrictive Pericarditis in Association with End-Stage Renal Disease

1Department of Internal Medicine, Olive View-UCLA Medical Center, 14445 Olive View Drive, Sylmar, CA 91342-1438, USA
2Department of Internal Medicine, Encino-Tarzana Regional Medical Center, 16237 Ventura Boulevard, CA 91436-2201, USA
3Department of Internal Medicine, Brotman Medical Center, 3828 Delmas Terrace, Culver City, CA 90232-6806, USA

Received 8 November 2010; Revised 12 February 2011; Accepted 22 February 2011

Academic Editor: Jaime Uribarri

Copyright © 2011 Roman L. Kleynberg et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pericardial involvement in end-stage renal disease (ESRD) is manifested most commonly as acute uremic or dialysis pericarditis and infrequently as chronic constrictive pericarditis (CCP). We report a 27-year-old patient with a history of uncontrolled hypertension, end-stage-renal disease on hemodialysis, who presented with recurrent ascites, dyspnea, and hypotension. After diagnosis with CCP, a partial pericardiectomy was performed; however, the patient did not improve and a salvage total pericardiectomy soon followed. He continued to decompensate and expired following a terminal extubation. No definitive cause of constrictive pericarditis was found. Nonetheless, we surmise it may have developed secondary to his end-stage renal disease. A literature review revealed end-stage kidney disease as a relatively uncommon cause of CCP; only a few other such associations have thus far been reported.