A Case of a Large Intrapericardial Lipoma Occupying Pericardial Space

Abstract

Although cardiac lipomas are quite rare, they represent the second most common primary benign cardiac tumors. In this case report we present a 71-year-old man with a large intrapericardial lipoma originating from pericardium. In this case, intrapericardial lipoma was diagnosed by echocardiographic methods (transthoracic and transesophageal echocardiography) and imaging techniques such as computed tomography, magnetic resonance imaging. The patient had an uneventful postoperative recovery. She is currently asymptomatic and has no evidence of recurrence at 12 months follow-up.

Intrapericardial Giant Lipoma Displacing the Heart

“…The most common intracardiac localisation is in the right atrium [8–10] with a wide peduncle originating either from the septal wall or atrial roof. They have also been described in the pericardium [11, 12], in the left atrium [10, 13, 14], on the tricuspid valve [15, 16], on the mitral valve [17], in the right [10] and left ventricles [18], in the ventricular septum [19], and even in both ventricular cavities [20]. …”