Uremic Pericarditis as a Complication of Coral Reef Aorta

This is a case report of a 77-year-old man with a history of prostate cancer and hypertension who presented with progressively worsening weakness, pleuritic chest pain, shortness of breath, and oliguria. He was subsequently found to have renal failure with nearly complete occlusion of his aorta at the level of the renal arteries, a condition known as coral reef aorta. He unfortunately developed uremic pericarditis due to renal failure likely caused by the occlusive plaques. This report is meant to highlight a rare complication of an even rarer disease.