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Case Reports
. 2015 Nov 5:10:150.
doi: 10.1186/s13019-015-0375-x.

A rare case report of giant epicardial lipoma compressing the right atrium with septal enhancement

Shengjun Wu  1 , Peng Teng  2 , Yuhan Zhou  3 , Yiming Ni  4
Affiliations
Case Reports

A rare case report of giant epicardial lipoma compressing the right atrium with septal enhancement

Shengjun Wu et al. J Cardiothorac Surg. .

Abstract

Background: Cardiac Lipoma is a rare entity constituting approximately 10-19 % of primary tumors of the heart and pericardium. To our best knowledge, such a large cardiac lipoma with septal enhancement in our case has never been reported before.

Case presentation: Here we present a rare case of a 65-year-old symptomatic female with an unusual giant cardiac lipoma. Due to the enhancement of the tumor septa, it was first diagnosed as liposarcoma and thought to be unresectable. Debulking surgery was performed to release patient's symptoms.

Conclusions: The patient ultimately underwent complete tumor resection with uneventful postoperative evolution. The postoperative pathological diagnosis is cardiac lipoma.

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Figures

Fig 1
Fig 1
a Chest roentgenogram showed the water-bottle heart with enlarged cardiac silhouette. b Enhanced CT showed an intrapericardial low-density tumor encompassing the free wall of right atrium. The tumor was well circumscribed and the septa of the tumor presented with enhancement. c, d A giant lipoid mass was noted after pericardiotomy, which was yellow, soft and well-encapsulated. e The resected tumor measured about 14 × 11 cm, weighted about 450 g and was well-encapsulated. f Histopathological study confirmed the diagnosis of lipoma (H&E stain)
See this image and copyright information in PMC

References

    1. Girrbach F, Mohr FW, Misfeld M. Epicardial lipoma--a rare differential diagnosis in cardiovascular medicine. Eur J Cardiothorac Surg. 2012;41(3):699–701. doi: 10.1093/ejcts/ezr020. - DOI - PubMed
    1. Zeebregts CJ, Hensens AG, Timmermans J, Pruszczynski MS, Lacquet LK. Lipomatous hypertrophy of the interatrial septum: indication for surgery? Eur J Cardiothorac Surg. 1997;11(4):785–7. doi: 10.1016/S1010-7940(96)01078-0. - DOI - PubMed
    1. Singh B, Bhairappa S, Shankar SK, Prasad NM, Manjunath CN. Cardiac Lipoma at Unusual Location - Mimicking Atrial Myxoma. Echocardiography. 2013;30(3):72–4. doi: 10.1111/echo.12093. - DOI - PubMed
    1. Bagwan IN, Sheppard MN. Cardiac lipoma causing sudden cardiac death. Eur J Cardiothorac Surg. 2009;35(4):727. doi: 10.1016/j.ejcts.2008.12.022. - DOI - PubMed
    1. Schrepfer S, Deuse T, Detter C, Treede H, Koops A, Boehm DH, et al. Successful resection of a symptomatic right ventricular lipoma. Ann Thorac Surg. 2003;76(4):1305–7. doi: 10.1016/S0003-4975(03)00523-X. - DOI - PubMed

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