Cardiac lipoma of the interventricular septum presenting with chest pain

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....

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Published in:Radiology Case Reports
Main Authors: 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
Format: Article
Language:English
Published: Elsevier 2023-05-01
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323001097
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author 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
author_facet 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
author_sort Marcello Chiocchi, MD, PhD
collection DOAJ
container_title Radiology Case Reports
description 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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spelling doaj-art-e39ae7856aeb4b6db3bd28a8a37cfd882025-08-19T21:40:52ZengElsevierRadiology Case Reports1930-04332023-05-011851886188910.1016/j.radcr.2023.02.003Cardiac lipoma of the interventricular septum presenting with chest painMarcello Chiocchi, MD, PhD0Alessandra Luciano, MD1Vincenzo De Stasio, MD2Luca Pugliese, MD3Eliseo Picchi, MD4Carlo Di Donna, MD5Maria Volpe, MD6Maria Pitaro, MD7Francesco Garaci, PhD8Roberto Floris, MD, PhD9Corresponding author.; Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, ItalyDepartment of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, ItalyDepartment of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, ItalyDepartment of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, ItalyDepartment of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, ItalyDepartment of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, ItalyDepartment of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, ItalyDepartment of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, ItalyDepartment of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, ItalyDepartment of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome, 00133, ItalyIn 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.http://www.sciencedirect.com/science/article/pii/S1930043323001097Cardiac lipomaChest painTroponinosisCardiac masses
spellingShingle 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
Cardiac lipoma of the interventricular septum presenting with chest pain
Cardiac lipoma
Chest pain
Troponinosis
Cardiac masses
title Cardiac lipoma of the interventricular septum presenting with chest pain
title_full Cardiac lipoma of the interventricular septum presenting with chest pain
title_fullStr Cardiac lipoma of the interventricular septum presenting with chest pain
title_full_unstemmed Cardiac lipoma of the interventricular septum presenting with chest pain
title_short Cardiac lipoma of the interventricular septum presenting with chest pain
title_sort cardiac lipoma of the interventricular septum presenting with chest pain
topic Cardiac lipoma
Chest pain
Troponinosis
Cardiac masses
url http://www.sciencedirect.com/science/article/pii/S1930043323001097
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