Cardiac lipoma of the interventricular septum presenting with chest pain.

Authors :: Chiocchi M
Luciano A
De Stasio V
Pugliese L
Picchi E
Di Donna C
Volpe M
Pitaro M
Garaci F
Floris R
Source :: Radiology case reports [Radiol Case Rep] 2023 Mar 09; Vol. 18 (5), pp. 1886-1889. Date of Electronic Publication: 2023 Mar 09 (Print Publication: 2023).
Publication Year :: 2023
Abstract: In this case report, we describe an incidental finding of interventricular septum lipoma in a 55-year-old man who came to our attention for chest pain. The ECG showed no changes compatible with ongoing ischemia. While laboratory tests documented increased troponin levels with normal D-dimer levels. Due to the technical difficulties encountered during the performance of the transthoracic echocardiogram, a cardiac CT scan was requested, which ruled out significant coronary artery disease and acute aortic syndromes and showed the presence of a circumscribed fat-dense mass located in the basal portion of the interventricular septum. Subsequent cardiac MRI confirmed the diagnosis of lipoma of the interventricular septum.<br /> (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)