Document Detail

Left ventricular lipoma with pseudoaneurysm-like appearance.
MedLine Citation:
PMID:  20549457     Owner:  NLM     Status:  MEDLINE    
We describe an extremely rare cardiac lipoma, with electrocardiographic changes in ST segments and T waves, suggesting ischemic heart disease. The abnormal electrocardiogram was identified during a routine physical examination of an asymptomatic 57-year-old man. Coronary angiography showed no stenotic or occlusive lesions in the coronary arteries except that the left anterior descending artery followed a winding course in the apical region. Left ventriculography revealed a pseudoaneurysm-like mass around the apical portion. Computed tomography and magnetic resonance imaging revealed a cardiac lipoma that communicated with the left ventricle and resembled a pseudoaneurysm. After complete resection of the lipoma and left ventricle patch plasty, the postoperative course was uneventful. Histologically, the tumor was an intramyocardiac lipoma with no evidence of malignancy. To our knowledge, we are the first to describe an intramyocardiac lipoma resembling a left ventricle pseudoaneurysm.
Shun-ichi Kawarai; Gen-ya Yaginuma; Kazuo Abe; Azumi Hamasaki; Kazunori Ishikawa; Daizo Tanaka
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-13
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  58     ISSN:  1863-6713     ISO Abbreviation:  Gen Thorac Cardiovasc Surg     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-15     Completed Date:  2010-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  279-82     Citation Subset:  IM    
Department of Cardiovascular Surgery, Sendai Kosei Hospital, Aoba-ku, Sendai, Japan.
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MeSH Terms
Aneurysm, False / diagnosis*
Cardiac Surgical Procedures
Coronary Angiography
Diagnosis, Differential
Heart Neoplasms / diagnosis*,  surgery
Heart Ventricles / pathology,  surgery
Lipoma / diagnosis*
Magnetic Resonance Imaging
Middle Aged
Tomography, X-Ray Computed
Treatment Outcome

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