Journal of Okayama Medical Association
Published by Okayama Medical Association

Full-text articles are available 3 years after publication.

Cardiac Lipomaの一例

Hasui, Masahiro
Mukouhara, Naoki
Marutani, Morio
Ohbayashi, Naotsugu
Shraki, Teruo
Uchida, Shinji
Ihara, Keiko
Togawa, Jun-ichiro
Yamanari, Hiroshi
Hina, Kazuyoshi
Kusachi, Shozo
Tsuji, Takao
Mima, Tsutomu
Matsubara, Katashi
Saito, Daiji
Haraoka, Shoichi
Tani, Hideki
102_319.pdf 3.57 MB
We reported a case of primary cardiac lipoma in a 74-year-old woman who had a 23-year history of cardiomegaly. The chest roentgenogram showed an enlargement of the cardiac silhouette. The electrocardiogram showed slight abnormalities including mild low voltage of R wave in V6 and flat T wave in V5 and V6. M-mode and cross-sectional echocardiography revealed a low echoic mass which mainly situated between left ventricular posterior wall and the pericardium. The left and right ventricular wall motion was not affected. Computed tomography of the heart revealed a large mass backward of the left ventricle and right side of the right atrium. The attenuation values of the mass ranged around-118HU and was compatible to lipoma. We diagnosed as a lipoma of the heart possibly arising from the pericardium. Computed tomography may be of use for a very specific diagnosis of cardiac lipoma.
Cardiac lipoma