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증례 : 순환기; 좌심실 후유두근에서 기인한 심장지방종 1예
백용수 ( Yong Soo Baek ),권준 ( Jun Kwan ),이경희 ( Kyung Hee Lee ),신성희 ( Sung Hee Shin ),박상돈 ( Sang Don Park ),정은선 ( Eun Soen Jeong ),민경선 ( Kyung Sun Min ) 대한내과학회 2010 대한내과학회지 Vol.79 No.1
심장 지방종은 매우 드문 원발성 심종양으로 무증상으로 우연히 발견되는 경우가 대부분이다. 저자들은 감염성 대장염으로 입원한 환자에서 우연히 발견된 심장 내 종양의 의심 하에 심초음파와 심장자기공명 촬영 및 관상동맥 다절편 단층 촬영을 이용하여 좌심실내 후유두근에서 기인한 심장지방종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Primary cardiac lipoma is a rare, benign, well-encapsulated tumor that is typically composed of mature fat cells. It can occur in any part of the heart, but is mostly found incidentally. Although cardiac lipoma does not require specific treatment in most cases, physicians should pay attention to this entity, which may cause arrhythmias, embolization, compression of the coronary arteries, or obstruct blood flow within the heart. In this report, we present the case of a 70-year-old woman who was admitted with a complaint of infectious colitis and incidentally found to have a cardiac lipoma in the posterior papillary muscle of the left ventricle on the basis of two-dimensional echocardiography and cardiac MRI. Given the patient`s lack of symptoms and normal cardiac function, we recommended observation without surgical exploration. After six months, the patient was in good health and showed no clinical signs or symptoms of cardiac lipoma. (Korean J Med 79:57-61, 2010)