Cardiac Lipoma: An Uncharacteristically Large Intra-Atrial Mass Causing Symptoms

Naseerullah, Fahad Syed; Javaiya, Hemangkumar; Murthy, Avinash

doi:10.1155/2018/3531982

Cited by 12 publications

(26 citation statements)

References 7 publications

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“…Additionally, about 25% of cardiac lipomas are intramyocardial, 25% are extracavitary with an epicardial origin, and 50% are intracavitary with a subendocardial origin [ 4 , 10 , 11 ]. They usually appear on the walls of the right atrium or left ventricle [ 4 , 8 , 11 , 12 ]. Typically, lipomas are found in adults by the fifth and sixth decades of life.…”

Section: Introductionmentioning

confidence: 99%

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Voluminous Intrapericardial Lipoma Mimicking Pericardial Effusion

Morais

Nakajima

Andalécio

et al. 2020

Case Reports in Medicine

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Lipomas are rare primary heart tumors and may involve the endocardium, myocardium, or pericardium. Signs and symptoms depend on the tumor location and size. The intrapericardial lipoma we report has massive dimensions and mimics a pericardial effusion. A 38-year-old male complained of dyspnea and precordial pain. On physical examination, heart sounds were diminished. The patient had received extensive medication for a clinically suspected pericardial effusion due to heart failure. A voluminous mass resembling fat within the pericardial sac was revealed by transesophageal echocardiography and a computed tomography scan. The tumor was removed successfully by a subxiphoid surgical approach. The diagnosis of a 635 gram intrapericardial lipoma was confirmed by pathological examination. After surgery, the patient recovered well and was completely asymptomatic at a follow-up at 90 days. No medications were being taken since. The diagnosis of a pericardial effusion should be secured by imaging exams to avoid unnecessary medications. Cardiac lipomas can be readily recognized by their typical features on radiologic imaging. The surgical pathology examination confirms the diagnosis and rules out malignancy criteria.

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Section: Introductionmentioning

confidence: 99%

“…Cardiac lipomas can cause thoracic pain, fatigue, dyspnea, syncope, arrhythmias, or even sudden death. Nevertheless, most cases are asymptomatic [ 4 , 5 , 8 , 11 , 16 , 17 ]. Imaging exams are essential for guiding the diagnosis, such as echocardiography, tomography, or magnetic resonance.…”

Section: Introductionmentioning

confidence: 99%

Voluminous Intrapericardial Lipoma Mimicking Pericardial Effusion

Morais

Nakajima

Andalécio

et al. 2020

Case Reports in Medicine

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“…Lipomas typically affect elderly women and have a higher incidence amongst individuals with increased body mass. They can be subendocardial, subpericardial, or endocardial and comprise encapsulated tumours composed of mature adipocytes [ 2 , 3 , 11 ] , differentiating them from LHAS tumours [ 2 , 3 , 11 , 21 , 22 ] . Incidentally detected, these tumours are best monitored through active surveillance, whilst symptomatic patients may be offered surgical resection [ 2 ] .…”

Section: Tumour Typesmentioning

confidence: 99%

“…Atrioventricular (AV) node tumours are congenital endodermal multicystic lesions, arising at the base of the interatrial septa in the triangle of Koch [ 2 , 22 ] . They affect women more frequently than men (3:1), with a mean age of 38 years at presentation [ 2 ] .…”

Section: Tumour Typesmentioning

confidence: 99%

The Current Management of Cardiac Tumours: a Comprehensive Literature Review

Joshi¹,

Kumar²,

Noshirwani³

et al. 2020

Braz J Cardiovasc Surg

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Objective To understand the current evidence and guidelines behind the appropriate management of cardiac tumours. Methods A comprehensive electronic literature search has been performed in major databases - PubMed, Embase, Scopus, Ovid, and Google Scholar. All articles that discussed all different forms of cardiac tumours, their clinical presentation, diagnosis, and management methods have been critically appraised in this narrative review. Results All relevant studies have been summarized in appropriate sections within our review. Cardiac tumours are rare but can be catastrophic and life-threatening if not identified and managed on timely manner. Utilization of all the available imaging methods can be of equivocal importance, relevant to each cardiac tumour. Surgical excision is the ultimate treatment method, however histopathological results can guide the adjunct treatment. Conclusion Early detection of cardiac tumours has significant effect on planning the method of intervention. Technological advancements and increased availability of imaging modalities have enabled earlier and more accurate detection of these tumours. Novel medical therapies, recommendations for screening, and operative techniques have all contributed to overall improving knowledge of these tumours and ultimately patient outcomes.

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“…The surface of the specimen is lined by smooth endocardial and epicardial tissue. The cut surface displays a yellow, lobulated appearance without hemorrhage, necrosis, fleshy change, or calcification [45].…”

Section: Unusual/rare Non-malignant Cardiac Tumorsmentioning

confidence: 99%

Non-Malignant Cardiac Tumors

Eapen¹,

Malone²,

Hanna³

et al. 2020

Embolic Diseases - Evolving Diagnostic and Management Approaches

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Cardiac tumors represent an unusual clinical problem in that they are often discovered as an incidental finding during a routine echocardiogram or in the course of a work-up for a source of embolism. Malignant tumors of the heart are either defined as primary or metastatic from an extra-cardiac primary sourceregardless, the prognosis is poor. However, there are several cardiac tumors that are characterized as being non-malignant with regard to their tumor biology, but their tendencies to cause embolic or obstructive complications can be just as catastrophic despite a lack of invasiveness or potential to metastasize. The purpose of this chapter is to review the common types of non-malignant cardiac tumors with regard to their incidence, presentation, potential for complications, and management-with emphasis on surgical indications and techniques. 2 delineated as malignant and non-malignant with malignant tumors being either primary (i.e., cardiac sarcomas) or metastatic (i.e., breast carcinoma). They are distinguished from non-malignant tumors, such as myxomas and fibroelastomas, in that the latter, despite the pathologic implications of growth (i.e., valvular obstruction) and systemic embolism, lack true metastatic potential. Nevertheless, non-malignant cardiac tumors can be clinically devastating (i.e., malignant) by their tendency to cause potentially devastating, and occasionally fatal, embolic complications [5]. MethodsThe focus of this review is on non-malignant tumors. The review methods consisted of Google Scholar (https://scholar.google.com) and PubMed (https:// www.ncbi.nlm.nih.gov/pmc/) searches with emphasis on the following key words: cardiac tumors, benign cardiac masses, myxomas, fibroelastomas, and fibromas. Additional associated search terms included: surgery, diagnosis, imaging, and management. Selected references, including manuscript abstracts and full texts, were reviewed for relevance in the context of this review.

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Cardiac Lipoma: An Uncharacteristically Large Intra-Atrial Mass Causing Symptoms

Cited by 12 publications

References 7 publications

Voluminous Intrapericardial Lipoma Mimicking Pericardial Effusion

Voluminous Intrapericardial Lipoma Mimicking Pericardial Effusion

The Current Management of Cardiac Tumours: a Comprehensive Literature Review

Non-Malignant Cardiac Tumors

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