Powered by OpenAIRE graph
Found an issue? Give us feedback
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Journal of Cardiovas...arrow_drop_down
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
Journal of Cardiovascular Ultrasound
Article . 2012 . Peer-reviewed
License: CC BY NC
Data sources: Crossref
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
Journal of Cardiovascular Ultrasound
Article
License: CC BY NC
Data sources: UnpayWall
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
PubMed Central
Other literature type . 2012
License: CC BY NC
Data sources: PubMed Central
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
versions View all 3 versions
addClaim

This Research product is the result of merged Research products in OpenAIRE.

You have already added 0 works in your ORCID record related to the merged Research product.

Visceral Obesity of the Heart: Extensive Lipomatous Hypertrophy of Interatrial Septum

Authors: Byung Chul Chang; Namsik Chung; Young Jin Kim; Jong-Won Ha; Seung-Hyun Lee; Dong-Jun Lee; H.J. Chang; +3 Authors

Visceral Obesity of the Heart: Extensive Lipomatous Hypertrophy of Interatrial Septum

Abstract

A 65-year-old woman was referred to the Department of Cardiovascular Surgery of our hospital for an operation with a presumptive diagnosis of right atrial myxoma. The mass was found incidentally on routine echocardiography during preoperative evaluation for total knee replacement. She had had hypertension and diabetes mellitus for 8 years. Her waist circumference was 111 cm and her body mass index was elevated at 37.8 kg/m2. She complained of mild exertional dyspnea. Electrocardiogram revealed normal sinus rhythm. Transthoracic echocardiography showed normal left ventricular dimensions and systolic function. However, it showed a poor echo window due to morbid obesity. Transesophageal echocardiography demonstrated a large right atrial mass attached to the interatrial septum with protrusion into the right atrium. The mass had a characteristic dumbbell-shaped appearance, separating into two parts (31 × 15 mm, 40 × 11 mm) due to sparing of the fossa ovalis (Fig. 1A and B). It was non-mobile and homogeneous echogenicity with a smooth surface. Fat tissue was also prominent around the aortic root. Cardiac magnetic resonance revealed a dumbbell shaped mass with no contrast enhancement involved on the interatrial septum from the coronary sinus to aortic root level. Subcutaneous, pericardial and epicardial fat tissue was revealed considerably (Fig. 1C). The mass showed high signal intensity on T1 weighted image (Fig. 1D) and dark signal on fat suppression image. Therefore, this obese woman did not undergo open heart surgery because her diagnosis on a multimodality imaging was extensive lipomatous hypertrophy of interatrial septum (LHIS). Fig. 1 Two-dimensional (A) and three-dimensional (B) transesophageal echocardiography showed dumbbell-shaped mass with sparing of the fossa ovalis. The mass (arrow) with no contrast enhancement involved on the interatrial septum in cardiac magnetic resonance ... LHIS is usually a benign condition caused by the excessive deposition of adipose tissue in the interatrial septum.1-3) It most often detected as an incidental finding on echocardiography in elderly obese patients. To avoid unnecessary surgical resection, we should consider this disease especially in elderly obese women.

Related Organizations
Keywords

Images in Cardiovascular Ultrasound

  • BIP!
    Impact byBIP!
    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    0
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
Found an issue? Give us feedback
citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green
gold