Zamir D, Pelled B, Marin G, Weiner P
Dept. of Medicine A, Hillel Yaffe Medical Center, Hadera.
Harefuah. 1995 Sep;129(5-6):179-81, 223.
Cardiac lipoma is an uncommon tumor and is rarely a source of either lung or systemic emboli. A 46-year-old woman hospitalized because of left hemiplegia is presented. CT scan revealed a right temporo-parietal infarction. Chest x-ray showed a left lower lobe infiltrate. Pulmonary perfusion-ventilation scan indicated "high probability" of pulmonary embolism. Because brain and lung emboli are often associated, an echocardiogram was made and a 2 x 2 cm mass in the apical septum was found, confirmed by transesophageal echocardiogram. At operation a septal lipoma was resected. When pulmonary emboli occurs in association with systemic emboli, lipoma of the septum, although very rare, should be considered.
心脏脂肪瘤是一种罕见的肿瘤，很少成为肺部或全身栓子的来源。本文介绍了一名因左侧偏瘫住院的46岁女性。CT扫描显示右侧颞顶叶梗死。胸部X线显示左下叶浸润。肺灌注通气扫描提示肺栓塞“高度可能”。由于脑和肺栓子常相关联，遂进行了超声心动图检查，发现心尖间隔有一个2×2厘米的肿块，经食管超声心动图证实。手术切除了间隔脂肪瘤。当肺栓塞与全身栓子同时发生时，尽管间隔脂肪瘤非常罕见，但也应予以考虑。
