Lipomatous Hypertrophy of the Atrial Septum in a Patient Undergoing Coronary Artery Bypass Surgery

Background. Lipomatous hypertrophy of the atrial septum (LHAS) is a rare entity characterized by mass-forming deposition of fatty tissue within the atrial septum. To date, <300 cases have been reported; many of them were autopsy findings. The clinical presentation of LHAS varies from incidental a...

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Main Authors: Thomas Strecker, Michael Weyand, Abbas Agaimy
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2016/2080875
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author Thomas Strecker
Michael Weyand
Abbas Agaimy
author_facet Thomas Strecker
Michael Weyand
Abbas Agaimy
author_sort Thomas Strecker
collection DOAJ
description Background. Lipomatous hypertrophy of the atrial septum (LHAS) is a rare entity characterized by mass-forming deposition of fatty tissue within the atrial septum. To date, <300 cases have been reported; many of them were autopsy findings. The clinical presentation of LHAS varies from incidental asymptomatic mass (most frequent form) to severe life-threatening cardiovascular complications necessitating emergency cardiac surgery. Case Presentation. Here, we present the successful surgical resection of such a massive LHAS which was found incidentally on preoperative investigation of a 71-year-old patient with progressive coronary heart disease. Histology confirmed the diagnosis of lipomatous hypertrophy of the atrial septum. Conclusions. The described case report illustrates an unusual example of LHAS in a patient undergoing a planned coronary artery bypass surgery. In this case, surgical intervention was justified to avoid later outflow obstructions.
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spelling doaj-art-809b65fb510349ed8ecbd53b225047e72025-02-03T05:44:22ZengWileyCase Reports in Pathology2090-67812090-679X2016-01-01201610.1155/2016/20808752080875Lipomatous Hypertrophy of the Atrial Septum in a Patient Undergoing Coronary Artery Bypass SurgeryThomas Strecker0Michael Weyand1Abbas Agaimy2Center of Cardiac Surgery, Friedrich-Alexander University, Erlangen, GermanyCenter of Cardiac Surgery, Friedrich-Alexander University, Erlangen, GermanyInstitute of Pathology, Friedrich-Alexander University, Erlangen, GermanyBackground. Lipomatous hypertrophy of the atrial septum (LHAS) is a rare entity characterized by mass-forming deposition of fatty tissue within the atrial septum. To date, <300 cases have been reported; many of them were autopsy findings. The clinical presentation of LHAS varies from incidental asymptomatic mass (most frequent form) to severe life-threatening cardiovascular complications necessitating emergency cardiac surgery. Case Presentation. Here, we present the successful surgical resection of such a massive LHAS which was found incidentally on preoperative investigation of a 71-year-old patient with progressive coronary heart disease. Histology confirmed the diagnosis of lipomatous hypertrophy of the atrial septum. Conclusions. The described case report illustrates an unusual example of LHAS in a patient undergoing a planned coronary artery bypass surgery. In this case, surgical intervention was justified to avoid later outflow obstructions.http://dx.doi.org/10.1155/2016/2080875
spellingShingle Thomas Strecker
Michael Weyand
Abbas Agaimy
Lipomatous Hypertrophy of the Atrial Septum in a Patient Undergoing Coronary Artery Bypass Surgery
Case Reports in Pathology
title Lipomatous Hypertrophy of the Atrial Septum in a Patient Undergoing Coronary Artery Bypass Surgery
title_full Lipomatous Hypertrophy of the Atrial Septum in a Patient Undergoing Coronary Artery Bypass Surgery
title_fullStr Lipomatous Hypertrophy of the Atrial Septum in a Patient Undergoing Coronary Artery Bypass Surgery
title_full_unstemmed Lipomatous Hypertrophy of the Atrial Septum in a Patient Undergoing Coronary Artery Bypass Surgery
title_short Lipomatous Hypertrophy of the Atrial Septum in a Patient Undergoing Coronary Artery Bypass Surgery
title_sort lipomatous hypertrophy of the atrial septum in a patient undergoing coronary artery bypass surgery
url http://dx.doi.org/10.1155/2016/2080875
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AT abbasagaimy lipomatoushypertrophyoftheatrialseptuminapatientundergoingcoronaryarterybypasssurgery