LEFT-VENTRICULAR LIPOMA BY TRANSESOPHAGEAL AND IN-VITRO ECHOCARDIOGRAPHIC STUDIES

This case report describes a patient with a Known left ventricular mas s which was documented by transthoracic echocardiography and which had not changed in size after anticoagulation, The mass was characterized as fatty tumor or hemorrhagic by cardiovascular magnetic resonance im aging study, and surgical removal of the mass was performed. Transesop hageal echocardiogram was performed intraoperatively. The tumor appear ed homogenous with no echolucencies or echodensities and an overall br ight echotexture. In vitro ultrasound studies done using similar instr ument gain settings showed the lipoma specimen to have a much brighter appearance than a myxoma. This finding may be helpful in differentiat ing a lipoma from other Left ventricular masses such as myxoma or thro mbus.