[Cardiac lipoma of the septum with systemic and pulmonary emboli].
Cardiac lipoma is an uncommon tumor and is rarely a source of either lung or systemic emboli. A 46-year-old woman hospitalized because of left hemiplegia is presented. CT scan revealed a right temporo-parietal infarction. Chest x-ray showed a left lower lobe infiltrate. Pulmonary perfusion-ventilation scan indicated "high probability" of pulmonary embolism. Because brain and lung emboli are often associated, an echocardiogram was made and a 2 x 2 cm mass in the apical septum was found, confirmed by transesophageal echocardiogram. At operation a septal lipoma was resected. When pulmonary emboli occurs in association with systemic emboli, lipoma of the septum, although very rare, should be considered.
Zamir
D
D
Dept. of Medicine A, Hillel Yaffe Medical Center, Hadera.
Pelled
B
B
Marin
G
G
Weiner
P
P
D002544:Cerebral Infarction / Q000150:complications; D004452:Echocardiography; D004617:Embolism / Q000150:complications*; D005260:Female; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006346:Heart Septum; D006801:Humans; D008067:Lipoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000150:complications*