Multimodality imaging including TTE, TOE, and cardiac MRI successfully identified an 18x16 mm interatrial septal lipoma accompanying lipomatous hypertrophy in a 77-year-old man.
Case Report (n=1)
Multimodality imaging including TTE, TOE, and cardiac MRI is useful for the diagnosis and characterization of rare concurrent cardiac lipomas and lipomatous hypertrophy of the interatrial septum.
Lipomatous hypertrophy of the interatrial septum (LHIS) is usually an incidentally detected benign disorder which is asymptomatic in most of the cases. On the other hand, cardiac lipomas are rare benign cardiac tumors. In transthoracic echocardiography (TTE) of a 77-year-old male patient, who was admitted with the complaint of dyspnea, homogeneous hypertrophic interatrial septum (IAS) was observed. Transesophageal echocardiography (TOE) detected a mass lesion on IAS in addition to LHIS. In cardiac magnetic resonance imaging (MRI), LHIS and an 18*16 mm diameter mass in line with lipoma was observed in interatrial septum. Cardiac lipomas and LHIS are often benign formations yet they may require surgery in circumstances such as being symptomatic and/or large in diameter. Cardiac MRI, TTE, and TOE images of a patient with LHIS and interatriyal septal lipoma extending into right atrial cavity are presented in this paper. Key words: Cardiac lipomas, Cardiac MRI, Echocardiography, Lipomatous hypertrophy of the interatrial septum.
Gürsul et al. (Fri,) conducted a case report in Lipomatous hypertrophy of the interatrial septum and interatrial septal lipoma (n=1). Multimodality cardiac imaging (TTE, TOE, and Cardiac MRI) was evaluated on Detection and characterization of cardiac mass. Multimodality imaging including TTE, TOE, and cardiac MRI successfully identified an 18x16 mm interatrial septal lipoma accompanying lipomatous hypertrophy in a 77-year-old man.