We report the noninvasive imaging diagnosis of a massive right atrial lipoma in a young male patient. Echocardiography and myocardial contrast echocardiography were used to assess echo intensity, tumor size, anatomic boundary, hemodynamics, and contrast agent perfusion. Dual-source CT revealed that the CT value of the tumor was fat density. Cardiac MRI showed high signals of T1 and T2 weighted images, while the low signals of fat saturation sequences. Finally, the tumor was surgically resected and the diagnosis of right atrial lipoma was confirmed by pathological section. Our study indicates that multimodal imaging may facilitate a potential pathological diagnosis before biopsy and can help plan further treatment.
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http://dx.doi.org/10.1186/s13019-024-03162-3 | DOI Listing |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11658371 | PMC |
J Cardiothorac Surg
December 2024
Department of Ultrasound, Yanan Hospital of Kunming City, Kunming, Yunnan Province, China.
We report the noninvasive imaging diagnosis of a massive right atrial lipoma in a young male patient. Echocardiography and myocardial contrast echocardiography were used to assess echo intensity, tumor size, anatomic boundary, hemodynamics, and contrast agent perfusion. Dual-source CT revealed that the CT value of the tumor was fat density.
View Article and Find Full Text PDFQuant Imaging Med Surg
December 2024
State Key Laboratory for Innovation and Transformation of Luobing Theory, Jinan, China.
Cureus
October 2024
Department of Anatomical Sciences, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.
J Cardiothorac Surg
October 2024
Department of Cardiovascular Surgery of the First Affiliated Hospital, Soochow University, Suzhou, Jiangsu, 215123, China.
JAAPA
September 2024
Christine Rullo practices at Beacon Medical Group in South Bend, Ind. The author has disclosed no potential conflicts of interest, financial or otherwise.
Lipomatous hypertrophy of the interatrial septum (LHIS) is a rare but benign cardiac tumor that can be found on cardiac imaging such as echocardiogram, or during surgery or an autopsy. Cardiac MRI is the best imaging modality to determine the borders of the tumor and its extension into the intraventricular septum and ventricular free wall. Patients require close monitoring because LHIS may cause right or left outflow tract obstruction or superior vena cava obstruction, requiring cardiac surgical intervention.
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