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Updated: May 20, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
[Atrial septal pouch: not always a thrombus. A case report and literature review]
Alberto Cresti1, Eugenia Capati, Andrea Picchi
1Divisione di Cardiologia, Ospedale della Misericordia, 58100 Grosseto, Italy. alcresti@gmail.com
Abstract:
A 69-year-old patient with dilated cardiomyopathy and atrial fibrillation experienced a transient ischemic attack. A septal pouch was diagnosed by transesophageal echocardiography and a mass into the pouch was detected, which was initially defined as thrombotic material. Since the mass did not disappear after a period of effective anticoagulation, a different etiology was suspected and cardiac magnetic resonance showed a lipomatous nature. As far as we know this is the first case of septal pouch lipoma.
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