Lampropoulos Konstantinos M, Kotsas Dimitrios, Iliopoulos Themistoklis
Department of Cardiology, Polyclinic General Hospital of Athens, Greece.
BMJ Case Rep. 2012 Sep 21;2012:bcr2012006611. doi: 10.1136/bcr-2012-006611.
Lipomatous hypertrophy of the interatrial septum is being increasingly recognised and should be considered as part of the differential diagnosis for any cardiac tumour. We present the case of a 65-year-old male patient who presented at the emergency department complaining of palpitations. Transthoracic and transoesophageal echocardiography detected a lipomatous membrane separating the dilated left atrium from the right atrium. Diagnosis was confirmed by MRI. In such cases, the opinion of a specialist echocardiologist would help to avoid a misdiagnosis and unnecessary intervention.
房间隔脂肪肥厚越来越受到关注,应被视为任何心脏肿瘤鉴别诊断的一部分。我们报告一例65岁男性患者,因心悸就诊于急诊科。经胸和经食管超声心动图检查发现一个脂肪膜将扩张的左心房与右心房分隔开。磁共振成像(MRI)确诊了该疾病。在此类病例中,专业超声心动图专家的意见有助于避免误诊和不必要的干预。