Not-so-benign massive cardiac lipoma

Fan, Jerry; Le, Phuong Tram N.; Ellington, Tyler; Jones, Billy Don

doi:10.1080/08998280.2019.1608623

Cited by 9 publications

(9 citation statements)

References 6 publications

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“…Although most of them show an indolent nature [ 32 ], aggressive growth, including infiltration into the myocardium, has been reported. Cardiac lipomas may grow to a very large size and infiltrate the myocardium deeply [ 33 , 34 ]. In some cases, they are even capable of melting the myocardium and developing cavities in the lipomas that communicate with cardiac chambers, thus having a pseudoaneurysmal appearance [ 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…A more frequent follow-up in patient 12 in the present study prompted the earlier discovery of recurrence and a chance to remove the lipoma without transplantation. Patients initially not considered for surgery should be closely followed up using imaging methods because potential infiltrative growth into the myocardium may result in failed resection in the future [ 33 ]. On the contrary, despite no evidence that cardiac lipoma might undergo malignant transformation, mature lipomas and well-differentiated liposarcomas coexist in one heart.…”

Section: Discussionmentioning

confidence: 99%

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The value of multimodality imaging in diagnosis and treatment of cardiac lipoma

et al. 2021

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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%

Section: Discussionmentioning

confidence: 99%

The value of multimodality imaging in diagnosis and treatment of cardiac lipoma

et al. 2021

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“…Interatrial lipomatous hypertrophy found in the pathological differential diagnosis is a rarely observed non-capsular hamartomatous lesion and is also called as lipomatous hypertrophy of the atrial septum. Even though the resection of cardiac lipomas is mostly easily performed, a small number of patients with extensive spread, unfortunately, undergo a difficult surgery, having poor outcomes [ 17 ] . The case of lipoma in our series was successfully resected, and no complication developed.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Masses: Pathological and Surgical Features — A Multicenter Study

Taşdemi̇r¹,

Tunçay²,

Karaman³

et al. 2021

Braz J Cardiovasc Surg

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Introduction This study aimed to review the surgical excision results and pathological diagnostic features of rarely observed intracardiac masses in the light of the literature. Diagnosis and treatment approaches and complications were evaluated. Methods Forty patients (26 females, mean age 52.1±18.1 years, and 14 males, mean age 48.1±20.5 years), who had undergone surgery for intracardiac mass between January 2008 and December 2018, were included in this study. The patients’ data were analyzed retrospectively from the medical records of both centers. Results When the pathological diagnoses were examined, 85.8% of the masses (n=35) were observed to be benign (benign tumor + hydatid cyst) and 14.2% (n=5) were malignant tumors. The masses were most commonly located in the left atrium (75%, n=30), and this was followed by the right ventricle (12.5%, n=5), right atrium (7.5%, n=3), and left ventricle (5%, n=2). Of the patients, 7.5% (n=3) died during the early postoperative period, while the remaining 92.5% (n=37) were discharged with healing. In the histopathological diagnosis of the patients, in whom in-hospital major adverse cardiovascular events were observed, there was malignancy in two cases. Conclusion Intracardiac masses, which have pathological features, are severe life-threatening problems. In-hospital mortality is frequent, especially in malignant tumors.

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“…Although most of them show an indolent nature 31 , aggressive growth, including in ltration into the myocardium, has been reported. Cardiac lipomas may grow to a very large size and in ltrate the myocardium deeply 32,33 . In some cases, they are even capable of melting the myocardium and developing cavities in the lipomas that communicate with cardiac chambers, thus having a pseudoaneurysmal appearance 34,35 .…”

Section: Discussionmentioning

confidence: 99%

“…A more frequent follow-up in patient 12 in the present study prompted the earlier discovery of recurrence and a chance to remove the lipoma without transplantation. Patients initially not considered for surgery should be closely followed up using imaging methods because potential in ltrative growth into the myocardium may result in failed resection in the future 32 . On the contrary, despite no evidence that cardiac lipoma might undergo malignant transformation, mature lipomas and well-differentiated liposarcomas coexist in one heart.…”

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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Not-so-benign massive cardiac lipoma

Cited by 9 publications

References 6 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

Cardiac Masses: Pathological and Surgical Features — A Multicenter Study

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

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