Interatrial Septum Hypertrophy: A Pitfall in Bicaval Cannulation
Main Article Content
Abstract
BACKGROUND: Lipomatous hypertrophy of the interatrial septum is a rare benign cardiac condition characterized by fatty tissue infiltration of the septum.
CASE PRESENTATION: We presented some interesting images and some possible pitfalls during the cannulation in this circumstance.
CONCLUSION: Surgical therapy appears to be reserved to patients with SVC obstruction or any rhythm disturbances.
Downloads
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Baikoussis NG, Argiriou O, Kratimenos T, Dedeilias P, Argiriou M. Lipomatous hypertrophy of the interatrial septum and fibrosing mediastinal lymphadenopathy causing superior vena cava obstruction. Ann Card Anaesth. 2015;18(4):609-11. https://doi.org/10.4103/0971-9784.166487 PMid:26440257 DOI: https://doi.org/10.4103/0971-9784.166487
O’Connor S, Recavarren R, Nichols LC, Parwani AV. Lipomatous hypertrophy of the interatrial septum: An overview. Arch Pathol Lab Med. 2006;130(3):397-9. https://doi.org/10.5858/2006-130-397-LHOTIS PMid:16519573 DOI: https://doi.org/10.5858/2006-130-397-LHOTIS
Christiansen S, Stypmann J, Baba HA, Hammel D, Scheld HH. Surgical management of extensive lipomatous hypertrophy of the right atrium. Cardiovasc Surg. 2000;8(1):88-90. https://doi.org/10.1016/s0967-2109(99)00080-0 PMid:10661712 DOI: https://doi.org/10.1016/S0967-2109(99)00080-0
Moinuddeen K, Marica S, Clausi RL, Zama N. Lipomatous interatrial septal hypertrophy: An unusual cause of intracardiac mass. Eur J Cardiothorac Surg. 2002;22(3):468-9. https://doi.org/10.1016/s1010-7940(02)00369-x PMid:12204749 DOI: https://doi.org/10.1016/S1010-7940(02)00369-X
Gopal DJ, Han Y, Silvestry FE, Ferrari VA. Atypical presentation of lipomatous hypertrophy of the interatrial septum: A case report. Eur Heart J Case Rep. 2019;3(4):1-4. https://doi.org/10.1093/ehjcr/ytz202 PMid:32099956 DOI: https://doi.org/10.1093/ehjcr/ytz202
Ampatzidou F, Koutsogiannidis CP, Cheva A, Vasiliadis K, Drossos G. Surgical treatment of atrial septum lipomatous hypertrophy associated with syncopal attacks. Ann Card Anaesth. 2018;21(3):319-20. https://doi.org/10.4103/aca.ACA_248_17 PMid:30052227 DOI: https://doi.org/10.4103/aca.ACA_248_17