Majid Husain, MD, Anthony McCanta, MD, FHRS, Anjan S

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Presentation transcript:

Rare finding of a pericardial lipoma in a pediatric patient presenting with ventricular tachycardia Majid Husain, MD, Anthony McCanta, MD, FHRS, Anjan S. Batra, MD, MBA, FHRS HeartRhythm Case Reports Volume 5, Issue 5, Pages 277-280 (May 2019) DOI: 10.1016/j.hrcr.2019.02.005 Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 1 Initial electrocardiogram showing monomorphic wide complex tachycardia with a right bundle branch block and left anterior hemiblock at 195 beats/min. The QRS duration in ventricular tachycardia varied from 180 ms to 200 ms. HeartRhythm Case Reports 2019 5, 277-280DOI: (10.1016/j.hrcr.2019.02.005) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 2 Baseline 12-lead electrocardiogram after termination of the tachycardia showed sinus rhythm with early repolarization and T-wave inversion in the inferior and lateral precordial leads. HeartRhythm Case Reports 2019 5, 277-280DOI: (10.1016/j.hrcr.2019.02.005) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 3 A, B: Cardiac computed tomography demonstrating the echogenic density as a 6.3 × 3.7-cm ill-defined fat-density lesion, likely a pericardial and less likely intracardial lipoma, owing to internal minimal stranding and septation, noted to be abutting the inferior left ventricular wall and causing irregularity and mass effect upon the cardiac apex. C, D: Cardiac magnetic resonance imaging showing the lesion to be most consistent with a lipoma, with fat suppression best appreciated on the T2-weighted images. HeartRhythm Case Reports 2019 5, 277-280DOI: (10.1016/j.hrcr.2019.02.005) Copyright © 2019 Heart Rhythm Society Terms and Conditions