The Korean Journal of Medicine

  • 제79권1호
  • /
  • Pages.57-61
  • /
  • 2010
  • /
  • 1738-9364(pISSN)
  • /
  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지

좌심실 후유두근에서 기인한 심장지방종 1예

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

  • 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)
  • 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)
  • 투고 : 2009.08.20
  • 심사 : 2009.09.28
  • 발행 : 2010.07.01
⟨ 이전 논문 다음 논문 ⟩

초록

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.

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.

키워드

참고문헌

  1. Libby P, Bonow RO, Mann DL, Zipes DP, Braunwald E. Braunwald's heart disease. 8th ed. p. 1817-1827, Philadelphia, Saunders Elsevier, 2007
  2. McAllister HA Jr. Primary tumors and cysts of the heart and pericardium. Curr Probl Cardiol 4:1-51, 1979
  3. Kim JT, Chang WH, Oh TY. Primary cardiac lipoma combined chest pain like angina pectoris. Korean J Thorac Cardiovasc Surg 39:320-322, 2006
  4. Jung MH, Lee SH, Lee SH, Chae JM, Kwak JS. Lipoma of the heart: an autopsy case report. Korean J Pathol 30:746-748, 1996
  5. Goodwin JF. The spectrum of cardiac tumors. Am J Cardiol 21:307-314, 1968 https://doi.org/10.1016/0002-9149(68)90135-5
  6. Heath L. Pathology of cardiac tumors. Am J Cardiol 21:315-327, 1968 https://doi.org/10.1016/0002-9149(68)90136-7
  7. Ozaki N, Mukohara N, Yoshida M, Shida T. Cardiac lipoma in the ventricular septum: a case report. Thorac Cardiovasc Surg 54:356-357, 2006
  8. Arslan S, Gundogdu F, Acikel M, Kantarci AM. Asymptomatic cardiac lipoma originating from the interventricular septum diagnosed by multi-slice computed tomography. Int J Cardiovasc Imaging 23:277-279, 2007 https://doi.org/10.1007/s10554-006-9127-2
  9. Balsaver AM, Morales AR, Whitehouse FW. Fat infiltration of the myocardium as a cause of cardiac conduction defect. Am J Cardiol 19:261-265, 1967 https://doi.org/10.1016/0002-9149(67)90543-7
  10. Bagwan IN, Sheppard MN. Cardiac lipoma causing sudden cardiac death. Eur J Cardiothorac Surg 35:727, 2009 https://doi.org/10.1016/j.ejcts.2008.12.022
  11. Anderson DR, Gray MR. Mitral incompetence associated with lipoma infiltrating the mitral valve. Br Heart J 60:169-171, 1988 https://doi.org/10.1136/hrt.60.2.169
  12. Comeau CR, Berke AD, Wolff SD. Ventricular lipoma detection by magnetic resonance iImaging. Circulation 103:1485-1486, 2001 https://doi.org/10.1161/01.CIR.103.10.1485
  13. Hayashi H, Hidaka F, Kiriyama T, Sato H, Takagi R, Kumita S. A left ventricular lipoma diagnosed on three-dimentional electrocardiogram gated cardiac computed tomography. Heart vessels 23:366-369, 2008 https://doi.org/10.1007/s00380-007-1037-2
  14. Friedberg MK, Chang IL, Silverman MH, Ramamoorthy C, Chen FP. Near Sudden death from cardiac lipoma in an adolescent. Circulation 113:e778-e779, 2006 https://doi.org/10.1161/CIRCULATIONAHA.105.589630
  15. Kim EY, Choe YH, Sung K, Park SW, Kim JH, Ko YH. Multidetector CT and MR imaging of cardiac tumors. Korean J Radiol 10:164-175, 2009 https://doi.org/10.3348/kjr.2009.10.2.164
  16. Lang-Lazdunski L, Oroudju M, Pansard Y, Vissuzaine C, Hvass U. Successful resection of giant intrapericardial lipoma. Ann Thorac Surg 58:238-241, 1994
  17. Wiese TH, Enzweiler CN, Borges AC, Beling M, Rogalla P, Taupitz M, Baumann G, Hamm B. Electron beam CT in the diagnosis of recurrent cardiac lipoma. AJR Am J Roentgenol 176:1066-1068, 2001 https://doi.org/10.2214/ajr.176.4.1761066