Bergmann Asa Unnur, Ottarsdottir Helga Thorunn, Flygenring Bjorn, Jonsson Helgi Mar, Gudmundsdottir Ingibjorg Jona
Department of Cardiology.
Department of Cardiology, University Hospital of Iceland.
Laeknabladid. 2021 May;107(5):240-242. doi: 10.17992/lbl.2021.05.636.
Cardiac lipomas are very rare benign tumors of the heart. They are usually asymptomatic and are often an incidental finding on cardiac imaging. This case report involves an 82-year-old female with a history of diabetes admitted because of poor glycemic control. An echocardiogram requested because of arrhythmias and heart failure revealed a tumor in the right atrium. Computed tomographic and ultrasound appearances were consistent with a lipoma and demonstrated a large mass in the right atrium, causing a significant stenosis of the superior vena cava but no clinical symptoms or signs of superior vena cava syndrome.
心脏脂肪瘤是非常罕见的心脏良性肿瘤。它们通常无症状，常在心脏成像检查时偶然发现。本病例报告涉及一名82岁有糖尿病史的女性，因血糖控制不佳入院。因心律失常和心力衰竭进行的超声心动图检查发现右心房有一个肿瘤。计算机断层扫描和超声表现与脂肪瘤相符，显示右心房有一个大肿块，导致上腔静脉明显狭窄，但无上腔静脉综合征的临床症状或体征。
