Lipomatous hypertrophy of the interatrial septum: report of two cases where histological examination and surgical intervention were unavoidable

被引:7
作者
Cale, Rita [1 ]
Andrade, Maria Joao [1 ]
Canada, Manuel [1 ]
Hernandez-Estefania, Rafael [2 ]
Lima, Sonia [1 ]
Abecasis, Miguel [3 ]
Vitorino, Emilia [4 ]
Gouveia, Rosa [4 ]
Gouveia, Raquel [1 ]
Silva, Jose Aniceto [1 ]
机构
[1] CHLO, Dept Cardiol, Lisbon, Portugal
[2] Policlin Gipuzkoa, Dept Cardiovasc Surg, San Sebastian, Spain
[3] CHLO, Dept Cardiothorac Surg, Lisbon, Portugal
[4] CHLO, Dept Pathol, Lisbon, Portugal
来源
EUROPEAN JOURNAL OF ECHOCARDIOGRAPHY | 2009年 / 10卷 / 07期
关键词
Lipomatous hypertrophy of the interatrial septum; Cardiac tumours; Transesophageal echocardiography; Vena cava obstruction;
D O I
10.1093/ejechocard/jep080
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Lipomatous hypertrophy of the interatrial septum (LHIS) is an increasingly recognized heart condition characterized by fatty deposits in the interatrial septum with sparing of the fossa ovalis. Its distinctive characteristic features by imaging techniques, benign nature, and the fact that most patients remain asymptomatic, has limited the need for histological confirmation and operative intervention in most cases. In this report, we describe two cases of LHIS where cardiac surgical intervention was indispensable: in the first patient, due to the presence of an additional Left atrial tumour found out as mixoma and in the second, to relief a superior vena cava obstruction together with bypass grafts for severe coronary artery disease. Histological samples of the interatrial septal Lesion were obtained in both cases either because of uncertainty of the diagnosis (Case 1) or to confirm the diagnosis (Case 2).
引用
收藏
页码:876 / 879
页数:4
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