Lipomatosis of interventricular septum and both ventricles: an extremely rare pattern

Interact Cardiovasc Thorac Surg. 2011 Mar;12(3):511-2. doi: 10.1510/icvts.2010.258020. Epub 2010 Dec 22.

Abstract

Fatty masses of the heart are relatively uncommon. This report is about an extremely rare case of cardiac lipomatosis that implicates both ventricles and inter-atrial septum. The patient was a 27-year-old female who was accidentally diagnosed during a routine physical examination. Trans-thoracic echocardiography (TTE) discovered a large homogenous bi-lobed, non-encapsulated echogenic mass. Magnetic resonance imaging (MRI) showed soft tissue abnormal enhancement in the anterior left base of the heart and sub-aortic outflow tract. A trans-jugular echomyocardial biopsy was done because of a lack of a definite diagnosis by non-invasive techniques. Pathological study showed benign fatty infiltration suggestive for benign lipomatous hypertrophy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy
  • Cardiomegaly / etiology
  • Echocardiography
  • Female
  • Heart Diseases / complications
  • Heart Diseases / diagnosis*
  • Heart Ventricles / diagnostic imaging
  • Heart Ventricles / pathology
  • Humans
  • Incidental Findings
  • Lipomatosis / complications
  • Lipomatosis / diagnosis*
  • Magnetic Resonance Imaging
  • Ventricular Septum / diagnostic imaging
  • Ventricular Septum / pathology