Multimodality imaging is useful for the diagnosis, differentiation, and follow-up of cardiac lipomas.
Echocardiography may enable initial detection and monitoring of atrial lipomas; case reports leave open standardized multimodality protocols.
A right atrial mass was discovered by echocardiography in a 53-year-old man. A work-up consisting of magnetic resonance imaging and computed tomography studies established the diagnosis of atrial lipoma. The echocardiographic features are compared with the radiological findings, and the characteristics permitting differentiation of lipoma from other causes of cardiac masses are discussed. In this case, echocardiography not only permitted the initial identification of the mass but also proved to be useful in follow-up of its evolution over time, thereby influencing the therapeutic management.
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Burri et al. (1999) studied this question.
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