[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.
Dept. of Medicine A, Hillel Yaffe Medical Center, Hadera.
D
D
Zamir
B
B
Pelled
G
G
Marin
P
P
Weiner
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*