Rupture of Left Ventricular Pseudoaneurysm: A Tragedy that Must Be Avoided

Faria, Lucas Antônio Oliveira; Vitor, Eduardo Henrique Costa; Santos, Paulo César; Cecílio, Jessica; Kalill, Rogério; O’Connell, João Lucas

doi:10.5935/2318-8219.20180032

Cited by 1 publication

(1 citation statement)

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“…The treatment of cardiac lipoma remains controversial, 8 with surgery being the method of choice for symptomatic patients, whereas conservative management is recommended for other patients 9 since it is associated with clinical monitoring and imaging tests to evaluate possible progression and adjacent structure invasion.…”

Section: Discussionmentioning

confidence: 99%

Lipoma in the Interventricular Septum – Case Report

Bonamigo Thomé,

Vilela Pazzini,

Pavan

et al. 2021

Arq Bras Cardiol: Imagem Cardiovasc

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Primary cardiac tumors are a rare but mostly benign pathology found in up to 0.03% of autopsies. Among these benign tumors, with an incidence of 8.5%, lipomas are often located in the interatrial septum. When located in the interventricular septum, they are considered an even more unusual pathology with an unknown real prevalence. In most cases, the diagnosis is made incidentally on cardiovascular imaging and confirmed by histopathological examination. They are more commonly asymptomatic or feature nonspecific symptoms, but these lipomas can progress with arrhythmias, valve dysfunction, heart failure, and death, which highlights the importance of cardiovascular imaging methods in the differential diagnosis and to guide appropriate therapy. This report describes the case of a patient with an incidental echocardiographic finding of a cardiac mass located in the interventricular septum, followed by cardiac magnetic resonance imaging to better characterize the lesion and demonstrate its characteristics compatible with lipoma.

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Section: Discussionmentioning

confidence: 99%