AI Article Synopsis

  • Lipomatous hypertrophy of the interatrial septum (LHIS) is a rare and benign condition where fat accumulates in the heart's atrial septum, often forming a distinct hourglass shape while leaving a specific area (fossa ovalis) unaffected.
  • A case study highlighted the unique features of LHIS using cardiac magnetic resonance (CMR), showing unusual characteristics and no uptake of 18F-FDG in PET-CT scans, which differs from prior reports.
  • This finding suggests that CMR and PET imaging can help differentiate LHIS from more serious conditions like lipomatous tumors, potentially reducing the need for unnecessary surgeries.

Article Abstract

Lipomatous hypertrophy of the interatrial septum (LHIS) is a rare benign heart disease characterized by excessive deposition of adipose tissue in the atrial septum with sparing fossa ovalis, which demonstrates a characteristic hourglass/dumbbell configuration. We reported a case of LHIS with inhomogenous characteristic on CMR and persistently no FDG uptake on 18F-FDG PET-CT, which is contrary to a few previous cases. This single case report suggests that in case LHIS present in-homogenous characteristic on CMR, metabolic PET imaging could be used as a complementary imaging model to decrease the concern of lipomatous neoplasms, thereby avoid unnecessary surgical therapy.

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http://dx.doi.org/10.1007/s10554-022-02632-wDOI Listing

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