The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

A case of asymptomatic cardiac lipoma of the left ventricular posterior papillary muscle

좌심실 후유두근에서 기인한 심장지방종 1예

  • Baek, Yong-Soo (Department of Internal Medicine, Inha University College of Medicine) ;
  • Kwan, Jun (Department of Internal Medicine, Inha University College of Medicine) ;
  • Lee, Kyung-Hee (Department of Radiology, Inha University College of Medicine) ;
  • Shin, Sung-Hee (Department of Internal Medicine, Inha University College of Medicine) ;
  • Park, Sang-Don (Department of Internal Medicine, Inha University College of Medicine) ;
  • Jeong, Eun-Soen (Department of Internal Medicine, Inha University College of Medicine) ;
  • Min, Kyung-Sun (Department of Internal Medicine, Inha University College of Medicine)
  • 백용수 (인하대학교 의과대학 내과학교실) ;
  • 권준 (인하대학교 의과대학 내과학교실) ;
  • 이경희 (인하대학교 의과대학 영상의학과학교실) ;
  • 신성희 (인하대학교 의과대학 내과학교실) ;
  • 박상돈 (인하대학교 의과대학 내과학교실) ;
  • 정은선 (인하대학교 의과대학 내과학교실) ;
  • 민경선 (인하대학교 의과대학 내과학교실)
  • Received : 2009.08.20
  • Accepted : 2009.09.28
  • Published : 2010.07.01
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Abstract

Primary cardiac lipoma is a rare, benign, well-encapsulated tumor that is typically composed of mature fat cells. It can occur in any part of the heart, but is mostly found incidentally. Although cardiac lipoma does not require specific treatment in most cases, physicians should pay attention to this entity, which may cause arrhythmias, embolization, compression of the coronary arteries, or obstruct blood flow within the heart. In this report, we present the case of a 70-year-old woman who was admitted with a complaint of infectious colitis and incidentally found to have a cardiac lipoma in the posterior papillary muscle of the left ventricle on the basis of two-dimensional echocardiography and cardiac MRI. Given the patient's lack of symptoms and normal cardiac function, we recommended observation without surgical exploration. After six months, the patient was in good health and showed no clinical signs or symptoms of cardiac lipoma.

심장 지방종은 매우 드문 원발성 심종양으로 무증상으로 우연히 발견되는 경우가 대부분이다. 저자들은 감염성 대장염으로 입원한 환자에서 우연히 발견된 심장 내 종양의 의심 하에 심초음파와 심장자기공명 촬영 및 관상동맥 다절편 단층 촬영을 이용하여 좌심실내 후유두근에서 기인한 심장지방종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

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