Ultrasonic fi nding of dumbbellshaped lipomatous hypertrophy of interatrial septum

Benign lipomatous formations rank second in frequency among primary cardiac tumors. According to the degree of encapsulation, they are divided into two groups — adipose tumors and lipomatous hypertrophies of interatrial septum. Cases of lipomatosis of the heart and lipomatous hypertrophy of interatrial septum were described in scientifi c editions in years past. Interest in this pathology is related to the question: is it necessary to perform preventive surgical intervention before the appearance of clinical signs of endocardial hemodynamics disturbance? Moreover, the risk associated with surgery is much higher than the existence of a benign hyperplastic process in the anatomical structures of the heart.

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Lipomatous hypertrophy of the interatrial septum: report of two cases where histological examination and surgical intervention were unavoidable

European Journal of Echocardiography ◽

10.1093/ejechocard/jep080 ◽

2009 ◽

Vol 10 (7) ◽

pp. 876-879 ◽

Cited By ~ 11

Author(s):

R. Cale ◽

M. J. Andrade ◽

M. Canada ◽

R. Hernandez-Estefania ◽

S. Lima ◽

...

Keyword(s):

Histological Examination ◽

Surgical Intervention ◽

Interatrial Septum ◽

Lipomatous Hypertrophy

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Cardiovascular Pseudoneoplasms

Archives of Pathology & Laboratory Medicine ◽

10.5858/134.3.362 ◽

2010 ◽

Vol 134 (3) ◽

pp. 362-368 ◽

Cited By ~ 7

Author(s):

Dylan V. Miller ◽

Henry D. Tazelaar

Keyword(s):

Malignant Tumors ◽

Great Majority ◽

Malignant Potential ◽

Atrial Septum ◽

Cardiac Tumors ◽

Appropriate Therapy ◽

Lipomatous Hypertrophy ◽

Considerable Morbidity ◽

Calcified Amorphous Tumor ◽

Primary Cardiac Tumors

Abstract Context.—Primary cardiac tumors are rare and the great majority are benign neoplasms. Mass-forming reactive and pseudoneoplastic growths are less common, but recognizing and distinguishing these lesions from the neoplasms they resemble is critical to appropriate patient care. Objective.—The general clinical, imaging, gross pathologic, and histologic features of 5 important pseudoneoplasms (inflammatory myofibroblastic tumor, hamartoma of mature cardiac myocytes, mesothelial/monocytic cardiac excrescences, calcified amorphous tumor, and lipomatous hypertrophy of the atrial septum) are discussed, with an emphasis on features differentiating them from other benign and malignant tumors. Data Sources.—Pertinent citations of the literature and observations from the authors' experience are drawn upon. Conclusions.—While lacking malignant potential, these lesions can be associated with considerable morbidity and occasional mortality. Their recognition is important in guiding patient management, providing both guidance for appropriate therapy and avoidance of inappropriately aggressive and toxic treatments.

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Clinical Features, Echocardiographic Findings, Management and Outcome in a Young Male Patient with Atrial Myxoma: A Rare Primary Cardiac Tumor

10.21203/rs.3.rs-898467/v1 ◽

2021 ◽

Author(s):

Mohamed Farah Yusuf Mohamud ◽

Said Abdirahman Ahmed ◽

Mohamed Abdullahi Mohamud

Keyword(s):

Surgical Intervention ◽

Cardiac Myxoma ◽

Young Male ◽

Atrial Myxoma ◽

Cardiac Tumors ◽

Primary Cardiac Tumor ◽

Systemic Embolization ◽

Definitive Management ◽

Echocardiographic Findings ◽

Primary Cardiac Tumors

Abstract Primary cardiac tumors in pediatric are rare and mostly benign. Atrial Myxoma is the most common primary tumor of the heart, which is usually involved in the left atrium. Surgical treatment is recommended when the patients develop symptoms or hemodynamically is impaired. Cardiac Myxoma can cause left atrial obstruction and systemic embolization. So early diagnosis with surgical intervention is the definitive management of the tumor and should not be delayed. Here we present a case of a 23-year old male who admitted to the emergency department with syncope and dyspnea for 1day ago. The tumor was removed surgically; pathologic examination confirmed the diagnosis of Myxoma.

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Recurrent atrial myxoma, right atriotomy, and sinus node dysfunction: A case of interdisciplinary care

The Southwest Respiratory and Critical Care Chronicles ◽

10.12746/swrccc.v6i25.484 ◽

2018 ◽

Vol 6 (25) ◽

pp. 42-46

Author(s):

Erwin Argueta ◽

Kelly Ratheal ◽

Sofia Prieto ◽

Ralph Paone ◽

Leigh Ann Jenkins ◽

...

Keyword(s):

Left Atrial ◽

Surgical Intervention ◽

Sinus Node ◽

Atrial Myxoma ◽

Sinus Node Dysfunction ◽

Definitive Treatment ◽

Cardiac Tumors ◽

Interdisciplinary Care ◽

Left Atrial Myxoma ◽

Primary Cardiac Tumors

Primary cardiac tumors are rare, and atrial myxomas represent about half of the benigntumors encountered. When found, definitive treatment is surgical resection. Followingresection of these tumors, recurrence is possible, and these patients need regular follow-up.In the case of recurrence, repeat surgical intervention is feasible, but the potential for moredisruption in atrial anatomy has to be considered. This could contribute to cardiac arrhythmias,and anticipation of these events is necessary to optimize patient care. We present the caseof a woman with a recurrent left atrial myxoma who developed sinus node dysfunction afterresection and discuss her clinical management.

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Imaging Findings of Lipomatous Hypertrophy of the Interventricular Septum: A Case Report

Clinical Medicine Insights Case Reports ◽

10.1177/11795476211024848 ◽

2021 ◽

Vol 14 ◽

pp. 117954762110248

Author(s):

Selvakumar Subbaraman ◽

Seena Cheppala Rajan ◽

Saveetha Veeraiyan ◽

Paarthipan Natarajan

Keyword(s):

Cardiac Tumor ◽

Interventricular Septum ◽

Cardiac Tumors ◽

Resonance Imaging ◽

Rare Form ◽

Cardiac Lipoma ◽

Lipomatous Hypertrophy ◽

Benign Cardiac Tumor ◽

Primary Cardiac Tumors

Primary cardiac tumors are rare. We report a case of lipomatous hypertrophy of the interventricular septum in a healthy, asymptomatic, 16 year old female, diagnosed initially by echocardiogram. Non contrast Computed tomography (CT) and Cardiac magnetic resonance imaging (CMR) were also performed to confirm the diagnosis of this rarely reported condition. Lipomatous hypertrophy of the interventricular septum is a rare form of benign cardiac tumor characterized by the proliferation of adipose tissue (fat) in the interventricular septum. This clinical entity has to be differentiated from cardiac lipoma which is a benign, encapsulated tumor. CMR helps is differentiating between the 2 conditions. As the lesion was neither causing compression of the ventricle nor obstruction to blood flow, she was managed conservatively and advised follow up.

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Anatomical Basis of Clinical Manifestations Seen in Cavernous Sinus Syndrome: A Narrative Review

The Open Ophthalmology Journal ◽

10.2174/1874364102115010070 ◽

2021 ◽

Vol 15 (1) ◽

pp. 70-78

Author(s):

Palaniraj Rama Raj ◽

Vinayak Smith

Keyword(s):

Cavernous Sinus ◽

Surgical Intervention ◽

Clinical Signs ◽

Clinical Manifestations ◽

Narrative Review ◽

Review Of The Literature ◽

Anatomical Structures ◽

Medical Practitioners ◽

Cavernous Sinus Syndrome ◽

Anatomical Basis

Pathology involving the Cavernous Sinus (CS), generally referred to as Cavernous Sinus Syndrome (CSS), can arise from vascular disorders, neoplasms, infections, and non-infectious inflammatory disorders. An acute understanding of the CS and its regional anatomical structures is therefore pertinent in expounding the highly variable clinical manifestations seen in CSS as well as laying the groundwork for surgical intervention. Though the neuroanatomy of the cavernous sinus has been substantially chronicled in literature, their correlation to clinical signs has only been minimally described. This narrative review serves to address this knowledge gap and aims to comprehensively correlate the clinical manifestations of CSS with the relevant neuroanatomy, thereby allowing medical practitioners to better navigate the diagnostic quandary. We conducted a scoping review of the literature concerning CS anatomy and CSS, complied through MEDLINE/OVID and cross-referencing of articles on PubMed and Google Scholar with the keywords cavernous sinus, cavernous sinus syndrome, clinical signs/manifestations, neuroanatomy, CS pathology, Cavernous Sinus Thrombus (CST) and cavernous sinus neoplasms/tumours.

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Lipomatous Hypertrophy of the Interatrial Septum

Acta Cardiologica ◽

10.2143/ac.61.4.2017314 ◽

2006 ◽

Vol 61 (4) ◽

pp. 489-490

Author(s):

Jeroen WALPOT ◽

W. Hans PASTEUNING

Keyword(s):

Interatrial Septum ◽

Lipomatous Hypertrophy

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Intracardiac EUS-B-Guided FNA for Diagnosing Cardiac Tumors

Respiration ◽

10.1159/000516504 ◽

2021 ◽

pp. 1-5

Author(s):

Haizea Alvarez Martinez ◽

Jolanda C. Kuijvenhoven ◽

Jouke T. Annema

Keyword(s):

Left Atrium ◽

Heart Surgery ◽

Open Heart Surgery ◽

Needle Aspiration ◽

Invasive Technique ◽

Cardiac Tumors ◽

Surgical Interventions ◽

Tumor Diagnostics ◽

Specific Tumor ◽

Primary Cardiac Tumors

Primary cardiac tumors are extremely rare. Obtaining a tissue diagnosis is difficult and commonly requires open-heart surgery with associated morbidity. Esophageal endoscopic ultrasound (EUS) and EUS with the EBUS scope (EUS-B) provide real-time sampling of centrally located lung tumors and mediastinal lymph nodes. They also provide an excellent view of the left atrium, since it is located adjacent to the esophagus. To date, left atrium tumor diagnostics by endosonography is poorly explored. We describe 2 exceptional diagnostic cases of left atrium tumors in which cardiac surgery was hazardous due to the clinical condition or previous surgical interventions. During EUS-B-guided fine-needle aspiration (FNA), the left atrial masses were successfully and safely sampled, revealing a Burkitt lymphoma and a synovial sarcoma. FNA including cell block analysis enabled specific tumor diagnosis and molecular subtyping. Our findings suggest that in selected cases, linear endosonography qualifies as a minimally invasive technique for intracardiac tumor diagnostics.

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