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Updated: Mar 19, 2026
06:29
Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
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A Benign Cardiac Growth but Not So Indolent
Adil S Wani1, Sahadev T Reddy2, Lakshmi Harinath3
1Department of Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, USA.
Case Reports in Cardiology
|June 14, 2016
Summary
Cardiac lipomatous hypertrophy, a rare benign tumor, can cause severe obstruction when located in the intraventricular septum. Surgical removal of this cardiac mass significantly improved patient symptoms and outflow tract obstruction.
Area of Science:
- Cardiology
- Cardiac Pathology
Background:
- Cardiac lipomatous hypertrophy is a rare, benign condition typically found in the interatrial septum.
- Its occurrence outside the interatrial septum is infrequent and can present unique clinical challenges.
Purpose of the Study:
- To report a rare case of intraventricular septum lipomatous hypertrophy.
- To highlight its complication of dynamic left ventricular outflow tract obstruction.
- To demonstrate the efficacy of surgical intervention.
Main Methods:
- Transthoracic echocardiogram for mass visualization and obstruction assessment.
- Cardiac Magnetic Resonance Imaging for mass characterization.
- Histopathological examination for definitive diagnosis.
Main Results:
- A case of lipomatous hypertrophy was identified in the intraventricular septum.
- This mass caused severe, symptomatic, and disabling dynamic left ventricular outflow tract obstruction.
- Surgical excision of the mass led to significant symptom improvement.
Conclusions:
- Intraventricular septum lipomatous hypertrophy can lead to significant hemodynamic compromise.
- Surgical management can effectively alleviate obstruction and improve symptoms.
- Multimodality imaging and histopathology are crucial for diagnosis and management.
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