Bibliographic Details
| Title: |
Multimodality imaging in diagnosing lipomatous atrial septal hypertrophy with atrial septal defect: a case report |
| Authors: |
Yi Yu, Ming Ding, Jin-Lan Chen, Ting Wang, Yu-Han Chen, Xiao-Min Yang, Su-Yun Chen, Yue-Peng Wang, Yi-Gang Li |
| Source: |
Frontiers in Cardiovascular Medicine, Vol 10 (2023) |
| Publisher Information: |
Frontiers Media S.A., 2023. |
| Publication Year: |
2023 |
| Collection: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: |
lipomatous atrial septal hypertrophy, atrial septal defect, multimodality imaging, transesophageal echocardiography, case report, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: |
BackgroundLipomatous atrial septal hypertrophy (LASH) with atrial septal defect (ASD) is a rare congenital anomaly. Although LASH is a histologically benign cardiac lesion characterized by excessive fat deposition in the interatrial septum that spares the fossa ovale, it has been associated with supraventricular arrhythmias or sick sinus syndrome. Application of multimodal imaging is crucial for accurate diagnosis, appropriate treatment of LASH with ASD, and follow-up.Case summaryA 68-year-old female patient presented with recurrent chest tightness and palpitation. Multimodal imaging revealed the characterizations of LASH and ASD. Two-dimensional transesophageal echocardiography showed a “dumbbell”-shaped involvement of the cephalad and caudal regions with sparing of a single secundum ASD. The septum with a brightness feature is an uncommon condition characterized by the deposition of unencapsulated fat cells in the atrial septum. Real-time four-dimensional transesophageal echocardiography reflected the lipomatous hypertrophy of the atrial septum and an oval-shaped ASD. Cardiac computer tomography angiography later confirmed this finding. The patient achieved a good clinical response with an ASD percutaneous occlusion guided by intracardiac echocardiography (ICE).ConclusionThis case demonstrates a LASH combined with ASD. Multimodality imaging can provide an accurate diagnosis and may guide the procedure for precise occlusion. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2297-055X |
| Relation: |
https://www.frontiersin.org/articles/10.3389/fcvm.2023.1245213/full; https://doaj.org/toc/2297-055X |
| DOI: |
10.3389/fcvm.2023.1245213 |
| Access URL: |
https://doaj.org/article/660f62b87a6e48ffbb5ec0c916d27e69 |
| Accession Number: |
edsdoj.660f62b87a6e48ffbb5ec0c916d27e69 |
| Database: |
Directory of Open Access Journals |
