Cardiac lipoma of the interventricular septum presenting with chest pain

• الحاوية / القاعدة: Radiology Case Reports
• المؤلفون الرئيسيون: 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
• التنسيق: مقال
• اللغة: الإنجليزية
• منشور في: Elsevier 2023-05-01
• الموضوعات: Cardiac lipoma; Chest pain; Troponinosis; Cardiac masses
• الوصول للمادة أونلاين: http://www.sciencedirect.com/science/article/pii/S1930043323001097
• تدمد: 1930-0433

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.