Cardiac lipoma

Case contributed by Dr Vincent Tatco

Presentation

History of syncopal attacks. Echocardiography showed an irregular echogenic mass on the ventricular septum.

Patient Data

Age: 10
Gender: Male
MRI

There is a 16.1 x 7.6 mm well-defined ovoid lesion attached to the right ventricular side of the inter ventricular septum extending superiorly to the proximal right ventricular outflow tract. The lesion exhibits signals similar to fat in all pulse sequences including fat-suppression technique. No significant obstruction is appreciated. This is likely the same lesion described in the prior echocardiographic study. The features of the lesion are compatible with a small cardiac lipoma.

Case Discussion

Cardiac lipomas are rare benign tumors of the heart. Occasionally, they are found on echocardiography, CT and MRI as incidental findings. In most cases, they require no treatment or surgical intervention unless they cause cause arrhythmias, embolize, compress the coronary arteries, or obstruct flow within the heart.

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Case information

rID: 43370
Case created: 7th Mar 2016
Last edited: 16th Nov 2017
Inclusion in quiz mode: Included

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