| Lipomatous hypertrophy of the interatrial septum in a patient with carcinoma: a case report of the importanceof multi-modality imaging. | |
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MedLine Citation:
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PMID: 21062405 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Introduction: Lipomatous hypertrophy of the interatrial cardiac septum is a benign disorder. In rare cases, the disorder can cause obstruction of atrial inflow, causing symptoms of heart failure, or cardiac arrhythmias resulting from the involvement of the atrial wall and atrioventricular conduction pathways. Case presentation: We present a case of a Caucasian 66-year-old man with urothelial carcinoma where transthoracic echocardiolography showed a mass in the basal part of the interatrial septum. After injection of echo contrast, it was suggested that the structure was vascularized, thus implying tumour. Transoesophageal echocardiography and cardiac magnetic resonance imaging gave the correct diagnosis of lipomatous hypertrophy. It was then discovered that the patient had been referred to a computed tomography (CT) earlier, but no mention of the mass was found in the report from the examination. Re-evaluation of the images showed a clearly visible mass indicative of fatty tissue. Conclusion: This case report highlights the importance of multi-modality imaging when the findings are not concordant. Moreover, this case report also highlights the importance of careful examination of the heart on routine CT scans, something that is often overlooked by the radiologists. In this case, the CT scan clearly indicated the diagnosis of lipomatous hypertrophy of the interatrial septum and thus could have prevented the subsequent imaging cascade. |
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Authors:
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Elin Trägårdh-Johansson; Magnus Dencker; Håkan Leek; Markus F Müller |
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Publication Detail:
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Type: Journal Article Date: 2010-11-10 |
Journal Detail:
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Title: Clinical physiology and functional imaging Volume: 31 ISSN: 1475-097X ISO Abbreviation: Clin Physiol Funct Imaging Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101137604 Medline TA: Clin Physiol Funct Imaging Country: England |
Other Details:
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Languages: eng Pagination: 166-8 Citation Subset: IM |
Copyright Information:
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© 2010 The Authors. Clinical Physiology and Functional Imaging © 2010 Scandinavian Society of Clinical Physiology and Nuclear Medicine. |
Affiliation:
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Department of Clinical Physiology and Nuclear Medicine, Skåne University Hospital, Lund University Department of Oncology, Skåne University Hospital, Lund University Department of Radiology, Skåne University Hospital, Lund University, Malmö, Sweden. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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