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심방 중격의 지방종성 비후 - 1예 보고 -

Lipomatous Hypertrophy of the Interatrial Septum - A Case Report -

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참고문헌

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초록

Abstract

Lipomatous hypertrophy of the interatrial septum is a benign cardiac mass that is characterized by excessive deposition of fat in the interatrial septum. It typically occurs in elderly, obese patients and may cause arrhythmia. We report a case of lipomatous hypertrophy of the interatrial septum. A 45-year-old man was admitted for evaluation of chest discomfort. Transthoracic echocardiography revealed a cardiac mass, which was suspected as a myxoma. A resection of the tumor was performed. Grossly, the mass was 1.3×1.2×0.8 cm, and showed yellow soft consistency and good demarcation. Microscopically, the mass consisted of mature adipose tissue, intermixed cardiac muscle fibers, entrapped nerve fibers and ganglion cells. Lipomatous hypertrophy of the interatrial septum should be differentiated pathologically from tumorous cardiac mass such as lipoma and myxoma.

참고문헌 (12)

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  8. Heyer CM, "Lipomatoushypertrophy of the interatrial septum a prospective study of incidence imaging findings, and clinical symptoms", 124, pp.2068~2073 (2003)
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  10. Nadra I, "Lipomatous hypertrophy of the interatrial septum a commonly misdiagnosedmass often leading to unnecessary cardiac surgery", 90, pp.66~ (2004)
  11. Simons M, "Lipomatous hypertrophy of the atrialseptum diagnosis by combined echocardiography and computerizedtomography", pp.465~6
  12. Crockett JE, "Lipoma of theheart", pp.394~8

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