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Ann Thorac Surg 1999;67:852-854
© 1999 The Society of Thoracic Surgeons

Case Reports

Echocardiography and excision of lipomatous hypertrophy of the interatrial septum

Donald C. Oxorn, MDa,c, Gerald Edelist, MDa, Bernard S. Goldman, MDb, Campbell D. Joyner, MDc

a Department of Anaesthesia, Sunnybrook Health Science Centre and the University of Toronto, Toronto, Ontario, Canada
b Division of Cardiovascular Surgery, Sunnybrook Health Science Centre and the University of Toronto, Toronto, Ontario, Canada
c Division of Cardiology, Sunnybrook Health Science Centre and the University of Toronto, Toronto, Ontario, Canada

Accepted for publication September 10, 1998.

Address reprint requests to Dr Oxorn, Department of Anesthesiology, University of Washington, Box 356540, Seattle, WA 98195-6540
e-mail: oxorn{at}u.washington.edu

We present a case of massive lipomatous hypertrophy of the interatrial septum, in which transesophageal echocardiography was used to guide surgical resection. Tissue removal was undertaken without entering either the left or right atrium, thereby obviating the need for atrial septal reconstruction.




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