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Korean J Med > Volume 87(3); 2014 > Article
The Korean Journal of Medicine 2014;87(3): 338-342.
드문 심비대의 원인으로서 거대 심낭 지방종
김우진, 김계훈, 조재영, 안영근, 정명호, 조정관, 박종춘
전남대학교 의과대학 내과학교실 순환기내과
Giant Pericardial Lipoma as an Unusual Cause of Cardiomegaly
Woo-Jin Kim, Kye Hun Kim, Jae Yeong Cho, Youngkeun Ahn, Myung Ho Jeong, Jeong Gwan Cho, Jong Chun Park
Division of Cardiology, Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea
Corresponding Author: Kye Hun Kim ,Tel: +82-62-220-6978, Fax: +82-62-223-3105, Email: christiankyehun@hanmail.net
Received: August 8, 2013;   Revised: October 1, 2013;   Accepted: October 2, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
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.
Keywords: Cardiomegaly; Lipoma; Pericardium
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