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Case 14
History
- 57 year old obese lady
- Increasing dyspnea, facial swelling and flushing
Findings
Diagnosis
Lipomatous hypertrophy of the interatrial septum
- Benign cardiac mass characterized by fatty deposits in the interatrial septum with a thickness of more than 2cm Incidence: 1-8%
- More common in elderly, female, obese
- Usually asymptomatic-rarely arrhythmia or obstructive symptoms
- Differential: Myxomas (tend to arise from the foramen ovale, exophytic) Lipomas- encapsulated, rhabdomymas and fibromas-predom infants and children and in the ventricles, metastatic disease
Treatemnt
- Treatment Almost always nothing- benign incidental finding. This case surgical: SVC/ Rt. atrial obstruction or severe rhythm disorders