title: Lipomatosis of interventricular septum and both ventricles: an extremely rare pattern.
abstract: Fatty masses of the heart are relatively uncommon. This report is about an extremely rare case of cardiac lipomatosis that implicates both ventricles and inter-atrial septum. The patient was a 27-year-old female who was accidentally diagnosed during a routine physical examination. Trans-thoracic echocardiography (TTE) discovered a large homogenous bi-lobed, non-encapsulated echogenic mass. Magnetic resonance imaging (MRI) showed soft tissue abnormal enhancement in the anterior left base of the heart and sub-aortic outflow tract. A trans-jugular echomyocardial biopsy was done because of a lack of a definite diagnosis by non-invasive techniques. Pathological study showed benign fatty infiltration suggestive for benign lipomatous hypertrophy.
authors.affiliation: Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Mohammad Hassan
authors.initials: MH
authors.lastname: Nezafati
authors.forename: Hadi
authors.initials: H
authors.lastname: Javan
authors.forename: Mahmoud Hosseinzadeh
authors.initials: MH
authors.lastname: Maleki
authors.forename: Ali
authors.initials: A
authors.lastname: Hamedanchi
mesh_terms: D000328:Adult; D001706:Biopsy; D006332:Cardiomegaly / Q000209:etiology; D004452:Echocardiography; D005260:Female; D006331:Heart Diseases / Q000150:complications / Q000175:diagnosis*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D033162:Incidental Findings; D008068:Lipomatosis / Q000150:complications / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D054088:Ventricular Septum / Q000000981:diagnostic imaging / Q000473:pathology