Key result
Surgical resection of a massive lipomatous hypertrophy of the atrial septum was successfully performed in a 71-year-old patient undergoing planned coronary artery bypass surgery.
Case Report (n=1)
Surgical resection of incidentally discovered massive lipomatous hypertrophy of the atrial septum during planned CABG is feasible and justified to prevent future outflow obstruction.
Surgical resection may be feasible in symptomatic LHAS; leaves open standardized indications and long-term outcomes.
Background . Lipomatous hypertrophy of the atrial septum (LHAS) is a rare entity characterized by mass-forming deposition of fatty tissue within the atrial septum. To date, <300 cases have been reported; many of them were autopsy findings. The clinical presentation of LHAS varies from incidental asymptomatic mass (most frequent form) to severe life-threatening cardiovascular complications necessitating emergency cardiac surgery. Case Presentation . Here, we present the successful surgical resection of such a massive LHAS which was found incidentally on preoperative investigation of a 71-year-old patient with progressive coronary heart disease. Histology confirmed the diagnosis of lipomatous hypertrophy of the atrial septum. Conclusions . The described case report illustrates an unusual example of LHAS in a patient undergoing a planned coronary artery bypass surgery. In this case, surgical intervention was justified to avoid later outflow obstructions.
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Strecker et al. (2016) conducted a case report in Lipomatous hypertrophy of the atrial septum and progressive coronary heart disease (n=1). Surgical resection was evaluated on Successful surgical resection. Surgical resection of a massive lipomatous hypertrophy of the atrial septum was successfully performed in a 71-year-old patient undergoing planned coronary artery bypass surgery.
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