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

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Presentation on theme: "Majid Husain, MD, Anthony McCanta, MD, FHRS, Anjan S"— Presentation transcript:

1 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 (May 2019) DOI: /j.hrcr Copyright © 2019 Heart Rhythm Society Terms and Conditions

2 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, DOI: ( /j.hrcr ) Copyright © 2019 Heart Rhythm Society Terms and Conditions

3 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, DOI: ( /j.hrcr ) Copyright © 2019 Heart Rhythm Society Terms and Conditions

4 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, DOI: ( /j.hrcr ) Copyright © 2019 Heart Rhythm Society Terms and Conditions

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