Abstract
Lipomatous Hypertrophy of the Interatrial Septum (LHIS) is usually a benign condition, but it has been known to produce a variety of symptoms and arrhythmias. Management is guided by symptoms and can range from watchful waiting to surgical resection. Here we describe a unique case of a patient with LHIS associated with two distinct atrial arrhythmias. Due to persistent symptoms an EP study with ablation was pursued which resulted in abatement of symptoms. This case illustrates that an EP study and ablation is a viable option that could be considered in patients with continued symptoms in conjunction with medical or surgical options and ultimately lead to prompt diagnosis and appropriate treatment.
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