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Malignant Arrhythmia with Benign Tumour: Fibrolipoma of the Left Ventricle

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초록

We report a case of young male referred for evaluation of recent onset recurrent syncope. Inhospital electrocardiogram revealed anepisode of ventricular flutter which reverted spontaneously to sinus rhythm. Transthoracic echocardiogram showed hyperechoicmass in the left ventricle. For further tissue characterization a cardiac magnetic resonance imaging was done which revealed a leftventricular mass with predominant fat content. The tumor was surgically resected. Histopathological examination confirmed thediagnosis of cardiac fibrolipoma. The patient recovered and is currently asymptomatic.

Abstract

We report a case of young male referred for evaluation of recent onset recurrent syncope. Inhospital electrocardiogram revealed anepisode of ventricular flutter which reverted spontaneously to sinus rhythm. Transthoracic echocardiogram showed hyperechoicmass in the left ventricle. For further tissue characterization a cardiac magnetic resonance imaging was done which revealed a leftventricular mass with predominant fat content. The tumor was surgically resected. Histopathological examination confirmed thediagnosis of cardiac fibrolipoma. The patient recovered and is currently asymptomatic.

참고문헌 (7)

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  3. Barberger-Gateau P, "Fibrolipoma of the mitral valve in a child. Clinical and echocardiographic features", Circulation, 58, pp.955~958 (1978)
  4. Stratemann S, "Left ventricular cardiac fibroma in a child presenting with ventricular tachycardia", Pediatr Cardiol, 29, pp.223~226 (2008)
  5. Ottaviani G, "Pathology of the heart and conduction system in a case of sudden death due to a cardiac fibroma in a 6-month-old child", Cardiovasc Pathol, 8, pp.109~112 (1999)
  6. Araoz PA, "CT and MR imaging of benign primary cardiac neoplasms with echocardiographic correlation", Radiographics, 20, pp.1303~1319 (2000)
  7. Akram K, "A left ventricular lipoma presenting as heart failure in a septuagenarian : a first case report", Int J Cardiol, 114, pp.386~387 (2007)

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