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Eur J Cardiothorac Surg 2002;21:564-565
© 2002 Elsevier Science NL

Case report

Extensive mediastinal lipomatosis in a patient with severe aortic valve stenosis

^a Department of Cardiothoracic Surgery, St. Antonius Hospital, P.O. Box 2500, 3430 EM Nieuwegein, the Netherlands
^b Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands

Received 6 June 2001; received in revised form 3 December 2001; accepted 18 December 2001.

* Corresponding author. Tel.: +31-30-609-2047; fax: +31-30-609-2120
e-mail: drpeek{at}hotmail.com

Mediastinal lipomatosis is a rare benign condition characterized by a large amount of mature adipose tissue in the mediastinum. We present the case of an 86-year-old male who was admitted to the hospital for analysis of his progressive dyspnea. After careful examination, the patient was diagnosed with severe aortic valve stenosis and extensive mediastinal lipomatosis. This rare coincidence of aortic valve disease and mediastinal lipoma was treated by aortic valve replacement and an extensive debulking procedure.

Key Words: Mediastinum • Lipomatosis • Aortic valve stenosis • Cardiomegaly