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Xia J, Liu JP, Hong W, Ge J, Zhang YH, Cao L, Zhang XZ, Chen XH, Zhou Q. Invasive cardiac lipoma at the left ventricular intermuscular region: A case report. Exp Ther Med 2024; 27:85. [PMID: 38274340 PMCID: PMC10809313 DOI: 10.3892/etm.2024.12373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Accepted: 10/18/2023] [Indexed: 01/27/2024] Open
Abstract
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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Affiliation(s)
- Juan Xia
- Department of Hospital-Acquired Infection Control, Suining Central Hospital, Suining, Sichuan 629000, P.R. China
| | - Jian-Ping Liu
- Department of Cardiovascular Surgery, Suining Central Hospital, Suining, Sichuan 629000, P.R. China
| | - Wei Hong
- Department of Cardiovascular Surgery, Suining Central Hospital, Suining, Sichuan 629000, P.R. China
| | - Jing Ge
- Department of Cardiovascular Surgery, Suining Central Hospital, Suining, Sichuan 629000, P.R. China
| | - Yong-Heng Zhang
- Department of Cardiovascular Surgery, Suining Central Hospital, Suining, Sichuan 629000, P.R. China
| | - Lin Cao
- Intensive Care Unit, Suining Central Hospital, Suining, Sichuan 629000, P.R. China
| | - Xian-Zheng Zhang
- Department of Anesthesiology, Suining Central Hospital, Suining, Sichuan 629000, P.R. China
| | - Xiao-Hong Chen
- Department of Anesthesiology, Suining Central Hospital, Suining, Sichuan 629000, P.R. China
| | - Qin Zhou
- Department of Operating Room, Suining Central Hospital, Suining, Sichuan 629000, P.R. China
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Chen Q, Yang D, Liu L, Jing X. Right atrial cardiac lipoma with distinctive imaging characteristics. A rare case report and literature review. Front Cardiovasc Med 2022; 9:1043427. [DOI: 10.3389/fcvm.2022.1043427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 11/15/2022] [Indexed: 12/03/2022] Open
Abstract
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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Total endoscopic left ventricle lipoma removal. J Cardiothorac Surg 2021; 16:218. [PMID: 34348760 PMCID: PMC8335990 DOI: 10.1186/s13019-021-01602-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 07/28/2021] [Indexed: 11/10/2022] Open
Abstract
Background Left ventricle (LV) lipoma is a very rare, benign cardiac tumor. Due to its rarity, LV lipoma is often misdiagnosed. Aspecific symptoms such as murmurs, arrhythmias, memory loss and palpitation may occur due to the mass effect. Case presentation We report a case report of a 42 year old woman who was found to have left ventricle mass after check-up for arrhytmia. By a fully endoscopic approach, the mass was successfully resected from the left ventricle without the need for sternotomy. Conclusion Total endoscopic removal of left ventricle lipoma’s can be done safely and has several advantages to conventional sternotomy. Larger studies are needed to confirm this hypothesis.
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A rare case of chest wall lipoma growing into the pleural cavity: a case report. J Cardiothorac Surg 2021; 16:197. [PMID: 34247638 PMCID: PMC8274025 DOI: 10.1186/s13019-021-01576-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Accepted: 07/03/2021] [Indexed: 11/10/2022] Open
Abstract
Background Several cases of lipoma in unusual locations in the thorax have been reported. Appropriate surgical treatment depending on the location and shape is often required. Case presentation We herein report an extremely rare case of a chest wall lipoma growing into the pleural cavity. The tumor was successfully removed without damaging the capsule by a combination of direct and thoracoscopic approaches. Conclusions Chest wall lipomas growing into pleural cavity can be successfully treated by a combination of direct and thoracoscopic approaches.
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