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

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

Affiliations

Marcello Chiocchi, MD, PhD: Corresponding author.; Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, Italy
Alessandra Luciano, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, Italy
Vincenzo De Stasio, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, Italy
Luca Pugliese, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, Italy
Eliseo Picchi, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, Italy
Carlo Di Donna, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, Italy
Maria Volpe, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, Italy
Maria Pitaro, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, Italy
Francesco Garaci, PhD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, Italy
Roberto Floris, MD, PhD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, Italy

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.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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