Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Primary Cardiac Lipoma Combined with Chest Pain Like Angina Pectoris

협심증 증상을 동반한 심낭내 원발성 지방종

  • Kim Jung-Tae (Department of Thoracic and Cardiovascular Surgery, Kangbuk Samsung Hospital, Sunkyunkwan University School of Medicine) ;
  • Oh Tae-Yoon (Department of Thoracic and Cardiovascular Surgery, Kangbuk Samsung Hospital, Sunkyunkwan University School of Medicine) ;
  • Chang Woon-Ha (Department of Thoracic and Cardiovascular Surgery, Kangbuk Samsung Hospital, Sunkyunkwan University School of Medicine)
  • 김정태 (성균관대학교 의과대학 강북성심병원 흉부외과) ;
  • 오태윤 (성균관대학교 의과대학 강북성심병원 흉부외과) ;
  • 장운하 (성균관대학교 의과대학 강북성심병원 흉부외과)
  • Published : 2006.04.01
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Abstract

A 60-year-old male was admitted because of dyspnea and angina like chest pain. Noninvasive findings showed a mass at the posterior aspect of the left atrium. The mass was removed under cardiopulmonary bypass. An encapsulated adipose mass, which originated from the left atrium without any invasion to the pericardium, was completely excised. Histological examination showed mature adipose tissue with partial necrosis, confirming the diagnosis of lipoma. We report a rare of case of massive left atrial lipoma occupying the pericardial space.

60세 남자 환자가 호흡곤란 및 협심증을 의심케 하는 흉통을 주소로 내원하였다. 시행한 비침습성 검사상 좌심방 후면에 종양이 발견되었다. 심폐기하에서 종양제거술을 시행하였다. 종양은 좌심방에서 기시하였으며 다른 장기로의 침범은 없었다. 조직검사상 부분 괴사를 동반한 성숙 지방 세포였으며 지방종으로 확진되었다. 이에 심낭 내 좌심방에서 기원한 드문 심장 지방종을 발표하는 바이다.

Keywords

References

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