title: A large false aneurysm of the right ventricle within a giant epicardial lipoma.
abstract: Lipomas, which account for approximately 10% of all neoplasms of the heart, may be detected in asymptomatic patients by chance during echocardiography, CT scan, or MRI scan. Occasionally, lipomas are complicated by arrhythmias. We describe a patient who presented with severe cardiomegaly and paroxysmal supraventricular tachycardia. An MRI scan showed a large intrapericardial lipoma with two large cavities inside communicating with each other and with the right ventricular chamber through a defect of the right ventricular wall. The mass was partially removed, and the right ventricle was patched. Surgery combined with antiarrhythmic therapy resulted in a good short-term result.
authors.affiliation: Dipartimento di Medicina Interna, Università di Torino, Torino, Italy.bonamini@molinette.unito.it
authors.forename: R
authors.initials: R
authors.lastname: Bonamini
authors.forename: F
authors.initials: F
authors.lastname: Pinneri
authors.forename: S
authors.initials: S
authors.lastname: Cirillo
authors.forename: E
authors.initials: E
authors.lastname: Rosettani
authors.forename: L
authors.initials: L
authors.lastname: Mangiardi
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis*; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis*; D006338:Heart Neoplasms / Q000175:diagnosis*; D006801:Humans; D008067:Lipoma / Q000175:diagnosis*; D008875:Middle Aged; D010496:Pericardium / Q000473:pathology