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KMID : 0882420140870030338
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Korean Journal of Medicine
2014 Volume.87 No. 3 p.338 ~ p.342
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Giant Pericardial Lipoma as an Unusual Cause of Cardiomegaly
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Kim Woo-Jin
Kim Kye-Hun
Cho Jae-Yeong
Ahn Young-Keun
Jeong Myung-Ho
Cho Jeong-Gwan
Park Jong-Chun
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Abstract
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Cardiomegaly is a commonly encountered clinical presentation on simple chest radiographs, and it usually indicates the enlargement of one or more cardiac chambers. However, cardiomegaly less commonly comes from abnormalities in the structures adjacent to the heart, including pericardial effusion, enlarged great vessels, or mediastinal tumors. Pericardial lipoma is a rare primary cardiac tumor that can grow to a large size by the time of diagnosis and result in huge cardiomegaly because of a lack of symptoms. Here, we report a rare case of giant pericardial lipoma that presented as huge cardiomegaly on simple chest radiographs. Multi-modality cardiovascular imaging, including echocardiography and cardiac magnetic resonance imaging, played a key role in the diagnosis and development of a therapeutic treatment plan for the present case.
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KEYWORD
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Cardiomegaly, Lipoma, Pericardium
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