Invasive Cardiac Lipoma: a case report and review of literature

D’Souza, Jason; Shah, Rajesh; Abbass, Aamer; Burt, Jeremy R.; Goud, Aditya; Dahagam, Chanukya H.

doi:10.1186/s12872-016-0465-2

Cited by 45 publications

(46 citation statements)

References 7 publications

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“…The imaging ndings from MRI in patient 12 also signi cantly affected clinical decision making. Although the giant pericardial lipoma remained silent, the regional thinning of the ventricular wall, similar to the pseduaneurysmal appearance, raised the suspicion that the lipoma gradually melted the myocardium 37,38 . Operative resection was adopted to prevent further growth and potential melting of the ventricular wall.…”

Section: Discussionmentioning

confidence: 99%

The Value of Multimodality Imaging in Diagnosis and Treatment of Cardiac Lipoma

Shu

Yuan

Kong

et al. 2021

Preprint

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Background: Cardiac lipoma is a rare primary tumor in the heart and pericardium. Multimodality imaging methods, especially magnetic resonance imaging (MRI), are crucial in detecting and diagnosing cardiac lipomas. Besides, they are of significant importance in management of cardiac lipomas. The aim of this study was to evaluate the value of multimodality imaging methods in diagnosing and treatment of cardiac lipoma by describing a series of cases of cardiac lipoma.Materials and Methods: Data of patients with cardiac lipoma at a local institution were retrospectively collected. Their imaging findings on echocardiography, computed tomography (CT), and cardiac MRI and clinical management were described in detail. Results: 12 patients with cardiac lipoma were retrospectively included with thirteen lipomas found within heart and pericardium. Two patients’ lipoma were symptomatic, while lipomas in other 10 patients were found incidentally. Most lipomas were sensitively detected with echocardiography. Accurate diagnoses were achieved with CT and MRI in all cases. Surgical resection was performed in one symptomatic patient due to the obstruction of the left ventricular outflow tract, while the removal of pericardial lipoma in another symptomatic patient was not possible due to diffuse myocardial infiltration observed in MRI. Based on MRI findings, two patients without clinical symptoms also underwent surgery to prevent the risk of detachment of ventricular lipoma with a narrow pedicle in one patient and potential further thinning of the myocardium by pericardial lipoma growth in another patient. Conclusions: Cardiac lipoma could be sensitively detected and accurately diagnosed with multiple noninvasive imaging tools. Comprehensive evaluation with multimodality imaging methods should also be conducted for better management planning and follow-up in all patients.

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Section: Discussionmentioning

confidence: 99%

The Value of Multimodality Imaging in Diagnosis and Treatment of Cardiac Lipoma

Shu

Yuan

Kong

et al. 2021

Preprint

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“…Cardiac lipomas are rare benign primary cardiac tumors, accounting for 2-8% of all benign cardiac tumors [2,3]. The typical 'age at presentation' of patients is between 40 and 60 years of age, but the presentation can occur at any age [4]. There is no gender predilection.…”

Section: Discussionmentioning

confidence: 99%

“…As the prevalence of cardiac lipomas is very low, there are no randomized clinical trials or large prospective cohorts to provide guidance or insight into the optimal treatment [4]. For large lesions that are causing obstruction, surgical resection is usually therapeutic and curative.…”

Section: Discussionmentioning

confidence: 99%

“…For large lesions that are causing obstruction, surgical resection is usually therapeutic and curative. Given the encapsulated nature of these tumors, they are not usually associated with embolization; and that is a rare indication for their surgical resection [3,4,15]. However, the general consensus is that surgical resection is commonly-pursued for all cardiac lipomas, regardless of symptoms or obstruction, due to the several reports in the literature of an associated risk of sudden cardiac death [8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

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“Left ventricular lipoma….. a rare case”, case report

Shamsi

Bajwa

Ghalib

2020

J Cardiothorac Surg

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Background: A cardiac lipoma is a rare primary cardiac tumor. They are usually asymptomatic and carry a good prognosis. Cardiac Magnetic Resonance Imaging (CMR) is the confirmatory investigation of choice. Case presentation: We present a case of left ventricular lipoma in an asymptomatic patient, which was successfully treated with surgical resection. Conclusion: Cardiac lipomas are rare and are usually benign. There is no guideline on the management of cardiac lipomas and treatment is individualized.

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“…Pericardial lipomas may even result in myocardium resorption with cavitation and communication with cardiac chambers, thus forming a pseudoaneurysmal appearance [ 13 – 16 ]. In addition, solitary lipomas involving multiple cardiac cavities across the myocardium have been reported [ 17 – 19 ]. If they do not originate from multiple foci, it suggests that the benign mass has great capacity of infiltrative growth.…”

Section: Introductionmentioning

confidence: 99%

From pathogenesis to treatment, a systemic review of cardiac lipoma

Shu

Wang

Zheng

2021

J Cardiothorac Surg

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Cardiac lipoma is an uncommon primary cardiac tumor. With the advancement of diagnostic methods and treatment techniques, more cases of cardiac lipomas have been reported and suggest that the entity previously widely thought to display classic features may also show atypical findings. A systemic review of the rare cardiac tumor was done by searching the literature of cardiac lipoma. We endeavor to summarize the clinical features of the rare disease from pathogenesis to treatment. Literature of cardiac lipoma was retrospectively searched through PubMed and 255 cases of cardiac lipoma were included into this analysis. Cardiac lipomas can occur anywhere within the heart, 53.1% were located within the cardiac chambers, 32.5% in the pericardium, 10,7% within the myocardium and 3.7% involved multiple structures. More than half of the reported cardiac lipomas (66%) may be clinically symptomatic, presenting with symptoms ranging from chest discomfort to syncope depending on their size and location as well as extent of myocardial involvement. Noninvasive cardiac imaging has replaced the role of autopsy and cardiothoracic surgery in detection and diagnosis of cardiac lipomas. Most symptomatic patients (83.7%) were treated by resection of cardiac lipomas and 68.3% of asymptomatic patients also underwentprophylactic resection. Overgrowth and myocardial infiltration of lipomas may result in unsuccessful resection. Recurrence of cardiac lipomas was rare but reported in a few cases. The early detection and accurate diagnosis of cardiac lipoma is of great significance in clinical management, to avoid an unfavourable outcome due to overgrowth.

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Invasive Cardiac Lipoma: a case report and review of literature

Cited by 45 publications

References 7 publications

The Value of Multimodality Imaging in Diagnosis and Treatment of Cardiac Lipoma

The Value of Multimodality Imaging in Diagnosis and Treatment of Cardiac Lipoma

“Left ventricular lipoma….. a rare case”, case report

From pathogenesis to treatment, a systemic review of cardiac lipoma

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