Radiology Case Reports (May 2023)

Cardiac lipoma of the interventricular septum presenting with chest pain

  • Marcello Chiocchi, MD, PhD,
  • Alessandra Luciano, MD,
  • Vincenzo De Stasio, MD,
  • Luca Pugliese, MD,
  • Eliseo Picchi, MD,
  • Carlo Di Donna, MD,
  • Maria Volpe, MD,
  • Maria Pitaro, MD,
  • Francesco Garaci, PhD,
  • Roberto Floris, MD, PhD

Journal volume & issue
Vol. 18, no. 5
pp. 1886 – 1889

Abstract

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In this case report, we describe an incidental finding of interventricular septum lipoma in a 55-year-old man who came to our attention for chest pain. The ECG showed no changes compatible with ongoing ischemia. While laboratory tests documented increased troponin levels with normal D-dimer levels. Due to the technical difficulties encountered during the performance of the transthoracic echocardiogram, a cardiac CT scan was requested, which ruled out significant coronary artery disease and acute aortic syndromes and showed the presence of a circumscribed fat-dense mass located in the basal portion of the interventricular septum. Subsequent cardiac MRI confirmed the diagnosis of lipoma of the interventricular septum.

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