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A Large False Aneurysm of the Right Ventricle Within a Giant Epicardial Lipoma*

Rodolfo Bonamini, MD; Francesco Pinneri, MD; Stefano Cirillo, MD; Erennio Rosettani, MD; Lucia Mangiardi, MD
Author and Funding Information

*From the Dipartimento di Medicina Interna (Drs. Bonamini, Rosettani, and Mangiardi) and the Dipartimento di Radiologia (Dr. Cirillo), Università di Torino, Torino, Italy; and Ospedale Civile di Chivasso (Dr. Pinneri), Chivasso, Italy.

Correspondence to: Rodolfo Bonamini, MD, Dipartimento di Medicina Interna, Corso AM Dogliotti, 14, 10126 Torino, Italy; e-mail: bonamini@molinette.unito.it



Chest. 2000;117(2):601-603. doi:10.1378/chest.117.2.601
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Lipomas, which account for approximately 10% of all neoplasms of the heart, may be detected in asymptomatic patients by chance during echocardiography, CT scan, or MRI scan. Occasionally, lipomas are complicated by arrhythmias. We describe a patient who presented with severe cardiomegaly and paroxysmal supraventricular tachycardia. An MRI scan showed a large intrapericardial lipoma with two large cavities inside communicating with each other and with the right ventricular chamber through a defect of the right ventricular wall. The mass was partially removed, and the right ventricle was patched. Surgery combined with antiarrhythmic therapy resulted in a good short-term result.

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