Related Experiment Video
Updated: Oct 20, 2025

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
Surgically treated mediastinal fat necrosis: an exception to conservative treatment
Bruno Lima Moreira1, Huylmer Lucena Chaves1, Pablo Rydz Pinheiro Santana1
1BP Medicina Diagnóstica, A Beneficência Portuguesa de São Paulo, São Paulo, Brazil.
Abstract:
Mediastinal fat necrosis is an important differential diagnosis for acute chest pain in previously healthy patients. Imaging examination is essential to establish this diagnosis, as physical examination can be unhelpful and laboratory tests are non-specific. The treatment of choice is conservative, with non-steroidal anti-inflammatory drugs; surgery is reserved for a few selected cases. We present the case of a 37-year-old male patient with mediastinal fat necrosis, refractory to the conservative management and complicated by growing pleural effusion, which was treated surgically.
Related Concept Videos
Pericarditis III: Medical Management
Cardiomyopathy V: Interprofessional Care
Aneurysm III: Interprofessional Care
Mitral Stenosis III: Medical Management

