Large Lipomatous Hypertrophy of the Interventricular Septum

AK K., Isbir S., KEPEZ A., Turkoz K., Elci E., ARSAN S.

TEXAS HEART INSTITUTE JOURNAL, cilt.41, sa.2, ss.231-233, 2014 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 41 Sayı: 2
  • Basım Tarihi: 2014
  • Doi Numarası: 10.14503/thij-13-3336
  • Dergi Adı: TEXAS HEART INSTITUTE JOURNAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.231-233
  • Anahtar Kelimeler: Adipose tissue/pathology, heart septum/pathology/surgery, hypertrophy/complications, lipomatosis/complications/diagnosis/surgery, ventricular septum/pathology, CARDIAC TUMORS, INTERATRIAL SEPTUM
  • Marmara Üniversitesi Adresli: Evet

Özet

We present the case of a 58-year-old woman who had large lipomatous hypertrophy of the interventricular septum, a condition that is reported very infrequently. Preoperative cardiac magnetic resonance images revealed an inhomogeneous, infiltrating mass that was suppressed in fat-suppression mode. The extensive mass was causing right ventricular dysfunction, so we excised it through a right ventricular approach. The findings on histologic analysis of the mass were consistent with lipomatous hypertrophy. The patient died of septic shock on the 28th postoperative day. In addition to the patient's case, we discuss the characteristics and diagnosis of this rare entity.