Hananouchi G I, Goff W B
Department of Radiology, Naval Hospital, San Diego, California 92134-5000.
Magn Reson Imaging. 1990;8(6):825-8. doi: 10.1016/0730-725x(90)90021-s.
A total of 63 cardiac lipomas have been reported to date. Although most of these rare tumors cause no symptoms, a few can have a detrimental effect on myocardial function as well as displacing and encasing the coronary arteries. This case of a cardiac lipoma was initially seen in 1982. The lipoma was found to be nonresectable at surgery due to involvement of the coronary arteries. This neoplasm was characterized with magnetic resonance imaging in 1989 on a follow-up visit. Magnetic resonance imaging is shown to be superior to computed tomography for identifying the relationship of the lipoma to the coronary arteries. This is a significant factor in determining resectability.
迄今为止，共报告了63例心脏脂肪瘤。虽然这些罕见肿瘤大多没有症状，但少数会对心肌功能产生不利影响，并压迫和包裹冠状动脉。该例心脏脂肪瘤最初于1982年被发现。由于冠状动脉受累，手术中发现该脂肪瘤无法切除。1989年随访时，通过磁共振成像对该肿瘤进行了特征描述。结果显示，磁共振成像在识别脂肪瘤与冠状动脉的关系方面优于计算机断层扫描。这是决定是否可切除的一个重要因素。
