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A Rare Case of Extracardiac Growing Angiomyolipoma Originating from the Interatrial Septum Junji Yanagisawa, Atsuo Maekawa, Sadanari Sawaki, Satoshi Hosino, Yasunari Hayashi, Masayoshi Tokoro and Toshiaki Ito(Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan) A 58-year-old man was admitted with a complaint of exertional chest discomfort. A mass, 53×55×66 mm in size, was detected in the transverse sinus of the pericardium, just cranial to the inter-atrial septum with enhanced chest CT. We performed resection of the tumor under cardiopulmonary bypass. Histopathological findings showed that the tumor was angiomyolipoma originated from the heart. Angiomyolipoma is a benign tumor, most frequently found in the kidney or liver and usually associated with tuberous sclerosis. Extra-cardiac growth of the cardiac angiomyolipoma is extremely rare, and only few have been reported previously. Jpn. J. Cardiovasc. Surg. 44 : 237-240(2015)