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European Journal of Echocardiography 2006 7(2):112; doi:10.1016/j.euje.2005.08.005
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Copyright © 2005, The European Society of Cardiology

Lipomatous hypertrophy of the interatrial septum

Shahid Mahmood, Yogesh Raja* and Anoop Chauhan

Blackpool Victoria Hospital, Whinney Heys Road, Blackpool FY3 8NR, UK

Received 11 August 2005; accepted after revision 20 August 2005.

dryogeshraja{at}gmail.com

* Corresponding author. Tel.: +44 2476412427.


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 Abstract
 
Lipomatous hypertrophy of the interatrial septum is a rare condition and it does not require any specific treatment. We present the transoesophageal echocardiogram findings of a 70-year-old lady demonstrating the appearances that were typical of lipomatous hypertrophy of the interatrial septum.

Keywords: Interatrial septum; Fossa ovalis; Lipomatous hypertrophy of the interatrial septum


A 70-year-old female presented with exertional dyspnoea for 6 months. On general physical examination the patient appeared well. The electrocardiogram demonstrated sinus rhythm. A transthoracic echocardiogram showed a mass attached to the interatrial septum best visualised in the subcostal views. A transoesophageal echocardiogram demonstrated appearances that were typical of lipomatous hypertrophy of the interatrial septum. The interatrial septum was unusually thick with a typical dumbbell shaped configuration and the membrane of the fossa ovalis was spared (Fig. 1).


Figure 1
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Figure 1 Transoesophageal echocardiogram shows the typical dumbbell shaped configuration of the IAS. The membrane of the fossa ovalis is spared. Arrow.

 
Lipomatous hypertrophy of the interatrial septum is a rare condition and it does not require any specific treatment. It has been known to be associated with arterial embolization, pulmonary embolism and cardiac arrhythmias. It can be mistaken for a tumour and therefore it is important to recognise this entity.


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R. Cale, M. J. Andrade, M. Canada, R. Hernandez-Estefania, S. Lima, M. Abecasis, E. Vitorino, R. Gouveia, R. Gouveia, and J. A. Silva
Lipomatous hypertrophy of the interatrial septum: report of two cases where histological examination and surgical intervention were unavoidable
Eur J Echocardiogr, October 1, 2009; 10(7): 876 - 879.
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