Surgical resection of a cardiac lipoma of the right ventricle

Karangelis, Dimos; Palios, John; Tzertzemelis, Dimitrios; Economidou, Stella; Panagiotou, Matthew

doi:10.4103/aca.aca_87_18

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…Cardiac lipomas can be located in any part of the heart and typically originate from the epicardial fat or pericardial fat. They are surrounded by fibrous tissue and contain a small amount of myocardial tissue, as well as components of connective tissue ( 31 ). Lipomas located in the myocardium are usually small with a complete capsule, and occasionally grow on the mitral or tricuspid valve ( 31 ).…”

Section: Discussionmentioning

confidence: 99%

“…They are surrounded by fibrous tissue and contain a small amount of myocardial tissue, as well as components of connective tissue ( 31 ). Lipomas located in the myocardium are usually small with a complete capsule, and occasionally grow on the mitral or tricuspid valve ( 31 ). The most common location is the atrial septum, followed by the endocardium of the right atrium and left ventricle ( 41 ), while in a few cases the lipomas are located in the myocardium, subepicardium and pericardium ( 29 ).…”

Section: Discussionmentioning

confidence: 99%

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Invasive cardiac lipoma at the left ventricular intermuscular region: A case report

Xia,

Liu,

Hong

et al. 2024

Exp Ther Med

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The present study described the case of a 22-year-old woman who had symptoms of left chest pain for >6 months, with further aggravation over 2 days. Computed tomography (CT) images of the mediastinal and pulmonary windows showed low-density shadows in the left ventricle. Echocardiography indicated a slightly stronger echo cluster in the left ventricle, with a range of ~29x30x35 mm, which was closely related to the lower wall and part of the posterior wall of the left ventricle. Contrast-enhanced ultrasound showed that the left ventricular mass was enhanced in a circular and dot-line shape, with a solid mass occupying the left ventricle and a rich blood supply. CT angiography revealed a nodule of size 27x27x24 mm in the left ventricle. During the operation, it was observed that the cardiac lipoma invaded the chordae tendinae and papillary muscle, and a valve replacement was performed. Postoperative examination revealed a piece of gray and anaplastic tissue, measuring 30x22x17 mm. The pathology of the specimen showed that the morphology of the left ventricular mass met the criteria of an intramuscular lipoma. The present study reported a cardiac lipoma involving the left anterior chordae tendinae and papillary muscle, with the patient showing only nonspecific symptoms. Early surgery should be applied to improve the prognosis of cardiac lipoma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Invasive cardiac lipoma at the left ventricular intermuscular region: A case report

Xia,

Liu,

Hong

et al. 2024

Exp Ther Med

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“…La intervención quirúrgica suele ser la opción terapéutica; sin embargo, debido a la baja incidencia de la enfermedad, no existen pautas claras sobre el momento más adecuado para realizarla (17) . Se puede efectuar un seguimiento periódico para pacientes asintomáticos o directamente la intervención quirúrgica para aquellos con arritmias, insuficiencia cardíaca, secuelas tromboembólicas, o en los que no es posible descartar la malignidad del tumor (17) .…”

Section: Discussionunclassified

Reincidencia de eventos coronarios: disfunción endotelial como mediadora

2020

Rev.Urug.Cardiol.

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Lipoma pericárdico: tumor benigno como causa de taponamiento cardíaco a baja presión ResumenLos tumores cardíacos son poco frecuentes y los lipomas constituyen una pequeña parte de ellos. La mayoría de estos tumores difieren en manifestaciones clínicas, diagnóstico, morfología y tamaño, por lo que son difíciles de evaluar. Presentamos el caso de una paciente de 80 años con disnea progresiva e insuficiencia cardíaca descompensada que desarrolló derrame pericárdico y posteriormente taponamiento cardíaco. A través del ecocardiograma transtorácico y de la tomografía computarizada, se determinó que un lipoma cardíaco era la causa del taponamiento cardíaco a baja presión que presentaba la paciente.

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“…Cardiac lipomas are rare primary cardiac tumors, the majority of which are asymptomatic ( 1 ). Clinical manifestations in affected patients generally vary as a function of tumor size and location, with some patients experiencing symptoms attributable to the compression of heart chambers by a large tumor volume or the involvement of the myocardium or heart valves that ultimately lead to their presentation for symptom.…”

Section: Introductionmentioning

confidence: 99%

Right atrial cardiac lipoma with distinctive imaging characteristics. A rare case report and literature review

Chen

Yang

Liu

et al. 2022

Front. Cardiovasc. Med.

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Cardiac lipomas are rare primary cardiac tumors that are often only detected incidentally during other examinations. Lipomas of the right atrium are particularly rare. In this report, we describe the case of a patient presenting with a mixed cystic-solid lipoma in the right atrium. The symptoms, imaging findings, and treatment strategies associated with this case are discussed herein. This 65-year-old female patient reported to our hospital due to exertional chest tightness, shortness of breath, and occasional chest pain for over 1 year. She subsequently underwent transthoracic echocardiography and contrast-enhanced ultrasonography, both of which revealed a cystic-solid mass in the right atrium. The transthoracic computed tomography scan showed a dense patchy shadow in the right atrium. The mass was completely excised from the atrial septum, and subsequent histopathological examination confirmed its identity as a lipoma. Surgical resection remains the primary treatment approach for cardiac lipomas, and multimodal imaging is of key importance for the diagnosis and follow-up monitoring of affected patients.

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Surgical resection of a cardiac lipoma of the right ventricle

Cited by 4 publications

References 9 publications

Invasive cardiac lipoma at the left ventricular intermuscular region: A case report

Invasive cardiac lipoma at the left ventricular intermuscular region: A case report

Reincidencia de eventos coronarios: disfunción endotelial como mediadora

Right atrial cardiac lipoma with distinctive imaging characteristics. A rare case report and literature review

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