Primary tumours of the heart are often encountered in clinical practice. Different autopsy series estimate the incidence to be anywhere from 0.001% to 0.19%. Cardiac lipoma is a rare type of tumour of the heart and pericardium. It comprises approximately 10–19% of all cardiac tumours. We present a case of a large cardiac lipoma in a fifty-year-old female. She presented with sharp chest pains, palpitations, and dizziness. Acute coronary syndrome was ruled out. A transthoracic echocardiogram showed an abnormal, large, fixed right atrial mass. The mass was noted to be occupying most of the right atrium. It was excised due to its large size and persistent symptoms. On pathophysiology, the mass was definitively diagnosed to be an 80 mm × 70 mm cardiac lipoma. Postoperatively, the patient did well with resolution of her symptoms. This case provides evidence that even large, invasive, symptomatic cardiac lipomas can be successfully resected with good outcomes.

Hypothermia is often a sign of serious illness. Commonly reported aetiologies include but are not limited to sepsis, exposure to cold and endocrine disorders. Hypoglycaemia, a common occurrence, is rarely associated with hypothermia. We present a case of prolonged, severe hypothermia due to hypoglycaemia. A 58-year-old man with diabetes who presented with chest pain and was diagnosed with Non-ST elevation myocardial infarction. He was given nothing per mouth in preparation for a left heart catheterisation but received his reported insulin glargine dosage at bedtime. A few hours later, he was noted to have diaphoresis and hypoglycaemia, and his temperature steadily started dropping which was unresponsive to local warming. Once his hypoglycaemia was successfully treated with dextrose infusion, his temperature improved. An extensive workup revealed no infective or endocrine disorder.

Left ventricular free wall rupture is invariably a calamitous event with the most frequent presentation being sudden hemodynamic collapse and death [1]. In such a scenario, however, a pseudoaneurysm may be considered a blessing in disguise. Left ventricular pseudoaneurysm (LVPA) develops when the rupture is contained by adherent pericardium, overlying fibrin and clot, or scar tissue. This prevents the rapid accumulation of blood in the pericardial space which would have otherwise led to death via the formation of a fatal pericardial tamponade. In contrast to rupture per se, one with a false aneurysm can lead to longer survival, thus providing physicians with crucial hours, days, or rarely even weeks to make the diagnosis [2]. LVPA is clinically uncommon and remains a challenge to diagnose. It can have numerous presentations, ranging from asymptomatic to chest pain and dyspnea [3]. Hence, it merits a high index of suspicion. The importance of making the diagnosis cannot be overstated, since the incidence of a fatal left ventricular rupture from a pseudoaneurysm varies from 19 to 32% [4]. We present a case in which an asymptomatic LVPA was diagnosed by picking up a new murmur on physical examination. Case report A 70-year-old male of Vietnamese origin was referred to the emergency room from an urgent care set up because of chest pain,

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