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A Giant Cardiac Lipoma Associated With Ventricular Inversion and Ventricular AneurysmGiant Cardiac Lipoma: Ultrasonography and CT Imaging Findings

Li-xuan Xie, MD; You-san Chen, MM; Shi-yuan Liu, MD
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From the Department of Radiology (Drs Xie and Liu), Shanghai Changzheng Hospital, Second Military Medical University, Shanghai; and Department of Radiology (Dr Chen), Wuhan General Hospital of Guangzhou Command, Wuhan, China.

Correspondence to: Shi-yuan Liu, MD, Department of Radiology, Shanghai Changzheng Hospital, Second Military Medical University, No. 415, Fengyang Rd, Shanghai 200003, China; e-mail: cjr.liushiyuan@vip.163.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


Chest. 2012;141(1):241-244. doi:10.1378/chest.10-2987
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Cardiac lipomas are rare, mostly asymptomatic, and usually found incidentally during noncardiac examinations; however, they also can be symptomatic, depending on their size and location. Here, we report a case of surgically proved pericardial lipoma that was big and for which cardiac structures were substantially altered. The combination of CT imaging and ultrasonography enabled a precise diagnosis in terms of localization, tissue characterization, and complications of the tumor. The origin of the tumor, however, remains undetermined despite a series of postoperative CT scan and ultrasound examinations.

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