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Ann Thorac Surg 1998;65:1784-1786
© 1998 The Society of Thoracic Surgeons

Case Reports

Surgical Treatment of Lipomatous Hypertrophy of the Interatrial Septum

Julian J. Alcocer, MDa, William E. Katz, MDb, Brack G. Hattler, MD, PhDa

a Division of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
b Division of Cardiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

Accepted for publication December 30, 1997.

Address reprint requests to Dr Hattler, Division of Cardiothoracic Surgery, University of Pittsburgh Medical Center, 200 Lothrop St, C-700, Pittsburgh, PA 15213-2582

We report a case of lipomatous hypertrophy of the interatrial septum in a patient with a recent syncopal episode and shortness of breath. Preoperative transesophageal echocardiography demonstrated a large tumor protruding from the interatrial septum. In addition, the patient was found to have significant coronary artery disease and a right internal carotid artery stenosis. The patient underwent successful resection of the mass with septal reconstruction, aortocoronary bypass, and right carotid endarterectomy. Histology of the mass was consistent with lipomatous hypertrophy.




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